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 $25.12 Median $26.30 Typical High $97.72 | Facility | None | $25.12 | $26.30 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $31.62 | Professional | None | $24.55 | $25.12 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | None | $16.60 | $18.62 | $18.62 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.95 Median $32.36 Typical High $74.13 | Facility | None | $19.95 | $32.36 | $74.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $26.92 | Professional | None | $19.95 | $23.99 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $48.98 Typical High $69.18 | Facility | None | $27.54 | $48.98 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $38.90 | Professional | None | $16.60 | $28.18 | $38.90 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $23.44 | Professional | None | $16.98 | $23.44 | $23.44 |
Pacific Source Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $53.70 | Facility | None | $26.92 | $32.36 | $53.70 |
Premera BCBS Setting Facility Modifier None Typical Low $26.92 Median $46.77 Typical High $74.13 | Facility | None | $26.92 | $46.77 | $74.13 |
Premera BCBS Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $32.36 | Professional | None | $21.38 | $23.99 | $32.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $74.13 | Facility | None | $26.92 | $41.69 | $74.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $26.92 | Professional | None | $19.95 | $23.99 | $26.92 |
United Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $32.36 | Facility | None | $26.92 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.22 Median $12.02 Typical High $30.20 | Professional | None | $11.22 | $12.02 | $30.20 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $26.92 Typical High $47.86 | Professional | None | $12.02 | $26.92 | $47.86 |
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 $12.59 Median $12.59 Typical High $15.85 | Professional | 52 · Reduced service | $12.59 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $6.46 | Professional | 53 · Discontinued | $5.01 | $5.01 | $6.46 |
Where Washington sits
The same service costs 4.5 times more in South Carolina 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· 25th of 51
$25.12
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.