How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $31.62 | Facility | None | $9.55 | $9.55 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $12.30 | Professional | None | $9.55 | $9.55 | $12.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.59 Median $11.75 Typical High $28.18 | Facility | None | $7.59 | $11.75 | $28.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $10.23 | Professional | None | $7.59 | $9.12 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $18.62 Typical High $26.30 | Facility | None | $10.47 | $18.62 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $10.72 Typical High $14.45 | Professional | None | $6.31 | $10.72 | $14.45 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $8.91 | Professional | None | $6.46 | $8.91 | $8.91 |
Pacific Source Setting Facility Modifier None Typical Low $10.23 Median $10.72 Typical High $20.42 | Facility | None | $10.23 | $10.72 | $20.42 |
Pacific Source Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Premera BCBS Setting Facility Modifier None Typical Low $10.23 Median $17.78 Typical High $28.18 | Facility | None | $10.23 | $17.78 | $28.18 |
Premera BCBS Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $12.30 | Professional | None | $9.12 | $9.12 | $12.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $10.23 Median $16.98 Typical High $28.18 | Facility | None | $10.23 | $16.98 | $28.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $10.23 | Professional | None | $7.59 | $9.12 | $10.23 |
United Setting Facility Modifier None Typical Low $10.23 Median $12.30 Typical High $12.30 | Facility | None | $10.23 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $4.27 Median $4.57 Typical High $11.48 | Professional | None | $4.27 | $4.57 | $11.48 |
Wellpoint Setting Professional Modifier None Typical Low $4.57 Median $10.23 Typical High $18.20 | Professional | None | $4.57 | $10.23 | $18.20 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $6.03 | Professional | 52 · Reduced service | $4.79 | $4.79 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.45 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.45 |
Where Washington sits
The same service costs 4.2 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 30th of 51
$9.55
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.