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 $5.37 Median $5.37 Typical High $17.78 | Facility | None | $5.37 | $5.37 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $7.94 | Professional | None | $5.37 | $5.37 | $7.94 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.37 Median $6.61 Typical High $15.85 | Facility | None | $4.37 | $6.61 | $15.85 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $5.75 | Professional | None | $4.37 | $5.25 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $10.47 Typical High $14.79 | Facility | None | $6.03 | $10.47 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $6.17 Typical High $8.32 | Professional | None | $3.63 | $6.17 | $8.32 |
Molina Setting Professional Modifier None Typical Low $3.72 Median $5.13 Typical High $5.13 | Professional | None | $3.72 | $5.13 | $5.13 |
Pacific Source Setting Facility Modifier None Typical Low $5.75 Median $6.92 Typical High $11.48 | Facility | None | $5.75 | $6.92 | $11.48 |
Premera BCBS Setting Facility Modifier None Typical Low $5.75 Median $10.00 Typical High $15.85 | Facility | None | $5.75 | $10.00 | $15.85 |
Premera BCBS Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.92 | Professional | None | $5.25 | $5.25 | $6.92 |
Regence BlueShield Setting Facility Modifier None Typical Low $5.75 Median $9.55 Typical High $15.85 | Facility | None | $5.75 | $9.55 | $15.85 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $5.75 | Professional | None | $4.37 | $5.25 | $5.75 |
United Setting Facility Modifier None Typical Low $5.75 Median $6.92 Typical High $6.92 | Facility | None | $5.75 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.57 Typical High $6.46 | Professional | None | $2.40 | $2.57 | $6.46 |
Wellpoint Setting Professional Modifier None Typical Low $2.57 Median $5.75 Typical High $10.47 | Professional | None | $2.57 | $5.75 | $10.47 |
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 $2.69 Median $2.69 Typical High $3.47 | Professional | 52 · Reduced service | $2.69 | $2.69 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.38 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.38 |
Where Washington sits
The same service costs 4.0 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· 33rd of 51
$5.37
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.