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 $74.13 Median $74.13 Typical High $239.88 | Facility | None | $74.13 | $74.13 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None | $74.13 | $74.13 | $75.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $218.78 | Facility | None | $58.88 | $87.10 | $218.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $79.43 | Professional | None | $58.88 | $70.79 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $114.82 Typical High $199.53 | Facility | None | $51.29 | $114.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $107.15 | Professional | None | $39.81 | $51.29 | $107.15 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $69.18 | Professional | None | $50.12 | $69.18 | $69.18 |
Pacific Source Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $158.49 | Facility | None | $79.43 | $89.13 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $79.43 Median $138.04 Typical High $218.78 | Facility | None | $79.43 | $138.04 | $218.78 |
Premera BCBS Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $93.33 | Professional | None | $61.66 | $70.79 | $93.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $79.43 Median $117.49 Typical High $218.78 | Facility | None | $79.43 | $117.49 | $218.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $79.43 | Professional | None | $58.88 | $70.79 | $79.43 |
United Setting Facility Modifier None Typical Low $79.43 Median $93.33 Typical High $93.33 | Facility | None | $79.43 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $79.43 | Professional | None | $23.44 | $33.11 | $79.43 |
Wellpoint Setting Professional Modifier None Typical Low $35.48 Median $79.43 Typical High $141.25 | Professional | None | $35.48 | $79.43 | $141.25 |
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 $37.15 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $37.15 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.14 |
Where Washington sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 20th of 51
$74.13
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.