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 $104.71 Median $104.71 Typical High $346.74 | Facility | None | $104.71 | $104.71 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $218.78 | Facility | None | $60.26 | $91.20 | $218.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $79.43 | Professional | None | $60.26 | $72.44 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $74.13 Typical High $147.91 | Facility | None | $72.44 | $74.13 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $114.82 | Professional | None | $58.88 | $91.20 | $114.82 |
Pacific Source Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $87.10 | Facility | None | $79.43 | $79.43 | $87.10 |
Premera BCBS Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $218.78 | Facility | None | $79.43 | $151.36 | $218.78 |
Premera BCBS Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $95.50 | Professional | None | $64.57 | $72.44 | $95.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $218.78 | Facility | None | $79.43 | $131.83 | $218.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $79.43 | Professional | None | $60.26 | $72.44 | $79.43 |
United Setting Facility Modifier None Typical Low $79.43 Median $95.50 Typical High $95.50 | Facility | None | $79.43 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $104.71 | Professional | None | $33.11 | $44.67 | $104.71 |
Wellpoint Setting Professional Modifier None Typical Low $35.48 Median $79.43 Typical High $144.54 | Professional | None | $35.48 | $79.43 | $144.54 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Washington sits
The same service costs 24.0 times more in Alaska than in Kentucky. 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
$79.43
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.