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 $11.22 Median $11.22 Typical High $37.15 | Facility | None | $11.22 | $11.22 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $52.48 | Professional | None | $10.00 | $11.22 | $52.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.18 Median $41.69 Typical High $104.71 | Facility | None | $28.18 | $41.69 | $104.71 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $38.02 | Professional | None | $28.18 | $33.88 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $69.18 Typical High $95.50 | Facility | None | $26.30 | $69.18 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $39.81 Typical High $51.29 | Professional | None | $19.95 | $39.81 | $51.29 |
Pacific Source Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $56.23 | Facility | None | $38.02 | $38.02 | $56.23 |
Premera BCBS Setting Facility Modifier None Typical Low $33.88 Median $66.07 Typical High $112.20 | Facility | None | $33.88 | $66.07 | $112.20 |
Premera BCBS Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $38.02 | Professional | None | $28.18 | $33.88 | $38.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $38.02 Median $56.23 Typical High $104.71 | Facility | None | $38.02 | $56.23 | $104.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $38.02 | Professional | None | $28.18 | $33.88 | $38.02 |
United Setting Facility Modifier None Typical Low $38.02 Median $45.71 Typical High $45.71 | Facility | None | $38.02 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $35.48 | Professional | None | $5.01 | $6.03 | $35.48 |
Wellpoint Setting Professional Modifier None Typical Low $16.98 Median $38.02 Typical High $67.61 | Professional | None | $16.98 | $38.02 | $67.61 |
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 $5.62 Median $5.62 Typical High $5.89 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.34 |
Where Washington sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 12th of 51
$33.88
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.