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 $27.54 Median $32.36 Typical High $107.15 | Facility | None | $27.54 | $32.36 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $40.74 | Professional | None | $27.54 | $27.54 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $20.42 | Professional | None | $17.78 | $20.42 | $20.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.18 Median $32.36 Typical High $79.43 | Facility | None | $13.18 | $32.36 | $79.43 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $29.51 | Professional | None | $21.88 | $26.30 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $53.70 Typical High $75.86 | Facility | None | $30.20 | $53.70 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $27.54 Typical High $60.26 | Professional | None | $19.05 | $27.54 | $60.26 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $25.70 | Professional | None | $8.32 | $11.48 | $25.70 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $33.11 Typical High $58.88 | Facility | None | $29.51 | $33.11 | $58.88 |
Premera BCBS Setting Facility Modifier None Typical Low $29.51 Median $51.29 Typical High $81.28 | Facility | None | $29.51 | $51.29 | $81.28 |
Premera BCBS Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $35.48 | Professional | None | $26.30 | $26.30 | $35.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $81.28 | Facility | None | $29.51 | $48.98 | $81.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $29.51 | Professional | None | $21.88 | $26.30 | $29.51 |
United Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Facility | None | $29.51 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $29.51 | Professional | None | $12.30 | $12.30 | $29.51 |
Wellpoint Setting Professional Modifier None Typical Low $13.18 Median $29.51 Typical High $52.48 | Professional | None | $13.18 | $29.51 | $52.48 |
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 $13.80 Median $13.80 Typical High $17.38 | Professional | 52 · Reduced service | $13.80 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $7.08 | Professional | 53 · Discontinued | $5.50 | $5.50 | $7.08 |
Where Washington sits
The same service costs 4.4 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· 34th of 51
$27.54
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.