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 $16.98 Median $16.98 Typical High $35.48 | Facility | None | $16.98 | $16.98 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $21.38 | Professional | None | $16.98 | $16.98 | $21.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.49 Median $22.39 Typical High $48.98 | Facility | None | $13.49 | $22.39 | $48.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $17.78 | Professional | None | $13.49 | $16.22 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $32.36 Typical High $46.77 | Facility | None | $18.62 | $32.36 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $25.70 | Professional | None | $11.22 | $19.05 | $25.70 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $15.85 | Professional | None | $11.48 | $15.85 | $15.85 |
Pacific Source Setting Facility Modifier None Typical Low $17.78 Median $19.05 Typical High $36.31 | Facility | None | $17.78 | $19.05 | $36.31 |
Pacific Source Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Premera BCBS Setting Facility Modifier None Typical Low $17.78 Median $31.62 Typical High $48.98 | Facility | None | $17.78 | $31.62 | $48.98 |
Premera BCBS Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $21.38 | Professional | None | $16.22 | $16.22 | $21.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $17.78 Median $29.51 Typical High $48.98 | Facility | None | $17.78 | $29.51 | $48.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $17.78 | Professional | None | $13.49 | $16.22 | $17.78 |
United Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $21.38 | Facility | None | $17.78 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $7.59 Median $8.13 Typical High $19.95 | Professional | None | $7.59 | $8.13 | $19.95 |
Wellpoint Setting Professional Modifier None Typical Low $8.13 Median $17.78 Typical High $32.36 | Professional | None | $8.13 | $17.78 | $32.36 |
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 $8.51 Median $8.51 Typical High $10.72 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.27 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.27 |
Where Washington sits
The same service costs 6.2 times more in Kansas 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· 26th of 51
$16.98
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.