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 $19.50 Median $19.50 Typical High $93.33 | Facility | None | $19.50 | $19.50 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $20.89 Typical High $29.51 | Professional | None | $19.50 | $20.89 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $41.69 | Professional | None | $12.88 | $14.45 | $41.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.49 Median $26.30 Typical High $57.54 | Facility | None | $15.49 | $26.30 | $57.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $20.89 | Professional | None | $15.49 | $18.62 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $38.02 Typical High $54.95 | Facility | None | $21.88 | $38.02 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $22.39 Typical High $30.20 | Professional | None | $12.88 | $22.39 | $30.20 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $18.20 | Professional | None | $13.18 | $18.20 | $18.20 |
Pacific Source Setting Facility Modifier None Typical Low $20.89 Median $22.91 Typical High $42.66 | Facility | None | $20.89 | $22.91 | $42.66 |
Premera BCBS Setting Facility Modifier None Typical Low $20.89 Median $36.31 Typical High $57.54 | Facility | None | $20.89 | $36.31 | $57.54 |
Premera BCBS Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $25.12 | Professional | None | $18.62 | $18.62 | $25.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.89 Median $34.67 Typical High $57.54 | Facility | None | $20.89 | $34.67 | $57.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $20.89 | Professional | None | $15.49 | $18.62 | $20.89 |
United Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $25.12 | Facility | None | $20.89 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $8.71 Median $9.33 Typical High $23.44 | Professional | None | $8.71 | $9.33 | $23.44 |
Wellpoint Setting Professional Modifier None Typical Low $9.33 Median $20.89 Typical High $37.15 | Professional | None | $9.33 | $20.89 | $37.15 |
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 $9.77 Median $9.77 Typical High $12.59 | Professional | 52 · Reduced service | $9.77 | $9.77 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $5.01 | Professional | 53 · Discontinued | $3.89 | $3.89 | $5.01 |
Where Washington sits
The same service costs 3.2 times more in Alaska 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· 31st of 51
$20.89
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.