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 $12.30 Median $12.30 Typical High $40.74 | Facility | None | $12.30 | $12.30 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.85 | Professional | None | $12.30 | $12.30 | $15.85 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.77 Median $15.14 Typical High $36.31 | Facility | None | $9.77 | $15.14 | $36.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $13.18 | Professional | None | $9.77 | $11.75 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $23.99 Typical High $33.88 | Facility | None | $13.80 | $23.99 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $19.05 | Professional | None | $8.13 | $13.80 | $19.05 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $13.18 | Professional | None | $8.32 | $8.32 | $13.18 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $14.45 Typical High $26.30 | Facility | None | $13.18 | $14.45 | $26.30 |
Premera BCBS Setting Facility Modifier None Typical Low $13.18 Median $22.91 Typical High $36.31 | Facility | None | $13.18 | $22.91 | $36.31 |
Premera BCBS Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $15.85 | Professional | None | $11.75 | $11.75 | $15.85 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $36.31 | Facility | None | $13.18 | $21.88 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $13.18 | Professional | None | $9.77 | $11.75 | $13.18 |
United Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $15.85 | Facility | None | $13.18 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $5.50 Median $5.89 Typical High $14.79 | Professional | None | $5.50 | $5.89 | $14.79 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $13.18 Typical High $23.44 | Professional | None | $5.89 | $13.18 | $23.44 |
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 $6.17 Median $6.17 Typical High $7.76 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $3.16 | Professional | 53 · Discontinued | $2.45 | $2.45 | $3.16 |
Where Washington sits
The same service costs 3.0 times more in Alaska than in New York. 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· 30th of 51
$12.30
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.