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 $14.13 Median $14.79 Typical High $67.61 | Facility | None | $14.13 | $14.79 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | None | $14.13 | $14.13 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.22 Median $18.62 Typical High $41.69 | Facility | None | $11.22 | $18.62 | $41.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $15.14 | Professional | None | $11.22 | $13.49 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $27.54 Typical High $38.90 | Facility | None | $11.75 | $27.54 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $15.85 Typical High $21.38 | Professional | None | $9.55 | $15.85 | $21.38 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $13.18 Typical High $13.18 | Professional | None | $9.55 | $13.18 | $13.18 |
Pacific Source Setting Facility Modifier None Typical Low $15.14 Median $18.20 Typical High $30.20 | Facility | None | $15.14 | $18.20 | $30.20 |
Premera BCBS Setting Facility Modifier None Typical Low $15.14 Median $26.30 Typical High $41.69 | Facility | None | $15.14 | $26.30 | $41.69 |
Premera BCBS Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $18.20 | Professional | None | $13.49 | $13.49 | $18.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $15.14 Median $24.55 Typical High $41.69 | Facility | None | $15.14 | $24.55 | $41.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $15.14 | Professional | None | $11.22 | $13.49 | $15.14 |
United Setting Facility Modifier None Typical Low $15.14 Median $18.20 Typical High $18.20 | Facility | None | $15.14 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $6.31 Median $6.76 Typical High $16.98 | Professional | None | $6.31 | $6.76 | $16.98 |
Wellpoint Setting Professional Modifier None Typical Low $6.76 Median $15.14 Typical High $26.92 | Professional | None | $6.76 | $15.14 | $26.92 |
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 $7.08 Median $7.08 Typical High $8.91 | Professional | 52 · Reduced service | $7.08 | $7.08 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.63 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.63 |
Where Washington sits
The same service costs 4.3 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· 30th of 51
$14.13
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.