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 $6.46 Median $6.46 Typical High $20.89 | Facility | None | $6.46 | $6.46 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.13 | Professional | None | $6.46 | $6.46 | $8.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5.13 Median $7.59 Typical High $19.05 | Facility | None | $5.13 | $7.59 | $19.05 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $6.92 | Professional | None | $5.13 | $6.17 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $12.30 Typical High $17.78 | Facility | None | $7.08 | $12.30 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $7.24 Typical High $9.77 | Professional | None | $4.17 | $7.24 | $9.77 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $6.03 | Professional | None | $4.37 | $6.03 | $6.03 |
Pacific Source Setting Facility Modifier None Typical Low $6.92 Median $9.55 Typical High $13.80 | Facility | None | $6.92 | $9.55 | $13.80 |
Premera BCBS Setting Facility Modifier None Typical Low $6.92 Median $12.02 Typical High $19.05 | Facility | None | $6.92 | $12.02 | $19.05 |
Premera BCBS Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $8.13 | Professional | None | $6.17 | $6.17 | $8.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $6.92 Median $11.22 Typical High $19.05 | Facility | None | $6.92 | $11.22 | $19.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $6.92 | Professional | None | $5.13 | $6.17 | $6.92 |
United Setting Facility Modifier None Typical Low $6.92 Median $8.13 Typical High $8.13 | Facility | None | $6.92 | $8.13 | $8.13 |
United Setting Professional Modifier None Typical Low $2.88 Median $3.09 Typical High $7.59 | Professional | None | $2.88 | $3.09 | $7.59 |
Wellpoint Setting Professional Modifier None Typical Low $3.09 Median $6.92 Typical High $12.30 | Professional | None | $3.09 | $6.92 | $12.30 |
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 $3.24 Median $3.24 Typical High $4.07 | Professional | 52 · Reduced service | $3.24 | $3.24 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.62 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.62 |
Where Washington sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 27th of 51
$6.46
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.