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 $7.59 Median $7.59 Typical High $24.55 | Facility | None | $7.59 | $7.59 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | None | $7.59 | $7.59 | $7.94 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $6.03 Median $8.91 Typical High $22.39 | Facility | None | $6.03 | $8.91 | $22.39 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $8.13 | Professional | None | $6.03 | $7.24 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $12.02 Typical High $20.89 | Facility | None | $8.32 | $12.02 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $8.71 Typical High $11.22 | Professional | None | $4.17 | $8.71 | $11.22 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $7.08 | Professional | None | $5.13 | $7.08 | $7.08 |
Pacific Source Setting Facility Modifier None Typical Low $8.13 Median $9.33 Typical High $16.22 | Facility | None | $8.13 | $9.33 | $16.22 |
Premera BCBS Setting Facility Modifier None Typical Low $8.13 Median $14.13 Typical High $22.39 | Facility | None | $8.13 | $14.13 | $22.39 |
Premera BCBS Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $9.77 | Professional | None | $7.24 | $7.24 | $9.77 |
Regence BlueShield Setting Facility Modifier None Typical Low $8.13 Median $12.59 Typical High $22.39 | Facility | None | $8.13 | $12.59 | $22.39 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $8.13 | Professional | None | $6.03 | $7.24 | $8.13 |
United Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $9.77 | Facility | None | $8.13 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $9.12 | Professional | None | $3.39 | $3.39 | $9.12 |
Wellpoint Setting Professional Modifier None Typical Low $3.63 Median $8.13 Typical High $14.45 | Professional | None | $3.63 | $8.13 | $14.45 |
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 $3.80 Median $3.80 Typical High $3.98 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.58 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.58 |
Where Washington sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 29th of 51
$7.59
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.