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 $23.99 Median $24.55 Typical High $114.82 | Facility | None | $23.99 | $24.55 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $30.20 | Professional | None | $23.44 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $69.18 | Facility | None | $19.05 | $29.51 | $69.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $25.70 | Professional | None | $19.05 | $22.91 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $46.77 Typical High $64.57 | Facility | None | $13.80 | $46.77 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $26.92 Typical High $34.67 | Professional | None | $13.49 | $26.92 | $34.67 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $47.86 | Facility | None | $25.70 | $25.70 | $47.86 |
Premera BCBS Setting Facility Modifier None Typical Low $25.70 Median $44.67 Typical High $75.86 | Facility | None | $25.70 | $44.67 | $75.86 |
Premera BCBS Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $30.20 | Professional | None | $20.89 | $22.91 | $30.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $38.02 Typical High $69.18 | Facility | None | $25.70 | $38.02 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $25.70 | Professional | None | $19.05 | $22.91 | $25.70 |
United Setting Facility Modifier None Typical Low $25.70 Median $30.20 Typical High $30.20 | Facility | None | $25.70 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $25.70 | Professional | None | $10.72 | $10.72 | $25.70 |
Wellpoint Setting Professional Modifier None Typical Low $11.48 Median $25.70 Typical High $45.71 | Professional | None | $11.48 | $25.70 | $45.71 |
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 $12.02 Median $12.02 Typical High $12.30 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.90 | Professional | 53 · Discontinued | $4.79 | $4.79 | $4.90 |
Where Washington sits
The same service costs 3.8 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· 27th of 51
$23.99
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.