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 $22.91 Median $22.91 Typical High $74.13 | Facility | None | $22.91 | $22.91 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $32.36 | Professional | None | $22.91 | $22.91 | $32.36 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $18.20 Median $30.20 Typical High $67.61 | Facility | None | $18.20 | $30.20 | $67.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $24.55 | Professional | None | $18.20 | $21.88 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $44.67 Typical High $69.18 | Facility | None | $25.12 | $44.67 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $25.70 Typical High $35.48 | Professional | None | $15.14 | $25.70 | $35.48 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $21.38 | Professional | None | $15.49 | $21.38 | $21.38 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $48.98 | Facility | None | $24.55 | $26.92 | $48.98 |
Premera BCBS Setting Facility Modifier None Typical Low $24.55 Median $42.66 Typical High $67.61 | Facility | None | $24.55 | $42.66 | $67.61 |
Premera BCBS Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $29.51 | Professional | None | $21.88 | $21.88 | $29.51 |
Regence BlueShield Setting Facility Modifier None Typical Low $24.55 Median $39.81 Typical High $67.61 | Facility | None | $24.55 | $39.81 | $67.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $24.55 | Professional | None | $18.20 | $21.88 | $24.55 |
United Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $29.51 | Facility | None | $24.55 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $27.54 | Professional | None | $10.23 | $10.96 | $27.54 |
Wellpoint Setting Professional Modifier None Typical Low $10.96 Median $24.55 Typical High $43.65 | Professional | None | $10.96 | $24.55 | $43.65 |
3 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 $11.48 Median $11.48 Typical High $14.45 | Professional | 52 · Reduced service | $11.48 | $11.48 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.89 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.89 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 90 · Outside lab | $16.98 | $16.98 | $16.98 |
Where Washington sits
The same service costs 4.0 times more in Kansas 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· 29th of 51
$22.91
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.