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 $14.79 Median $14.79 Typical High $23.99 | Facility | None | $14.79 | $14.79 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $18.62 | Professional | None | $14.45 | $14.79 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | None | $9.55 | $10.72 | $10.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $42.66 | Facility | None | $11.75 | $19.50 | $42.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $15.49 | Professional | None | $11.75 | $14.13 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $28.18 Typical High $44.67 | Facility | None | $16.22 | $28.18 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $16.60 Typical High $22.39 | Professional | None | $9.55 | $16.60 | $22.39 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $13.80 | Professional | None | $10.00 | $13.80 | $13.80 |
Pacific Source Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $31.62 | Facility | None | $15.49 | $15.49 | $31.62 |
Premera BCBS Setting Facility Modifier None Typical Low $15.49 Median $27.54 Typical High $42.66 | Facility | None | $15.49 | $27.54 | $42.66 |
Premera BCBS Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $18.62 | Professional | None | $14.13 | $14.13 | $18.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $15.49 Median $25.70 Typical High $42.66 | Facility | None | $15.49 | $25.70 | $42.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $15.49 | Professional | None | $11.75 | $14.13 | $15.49 |
United Setting Facility Modifier None Typical Low $15.49 Median $18.62 Typical High $18.62 | Facility | None | $15.49 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $6.61 Median $7.08 Typical High $17.38 | Professional | None | $6.61 | $7.08 | $17.38 |
Wellpoint Setting Professional Modifier None Typical Low $7.08 Median $15.49 Typical High $28.18 | Professional | None | $7.08 | $15.49 | $28.18 |
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 $7.41 Median $7.41 Typical High $9.33 | Professional | 52 · Reduced service | $7.41 | $7.41 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.72 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.72 |
Where Washington sits
The same service costs 4.2 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· 28th of 51
$14.79
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.