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 $34.67 Median $34.67 Typical High $112.20 | Facility | None | $34.67 | $34.67 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | None | $34.67 | $34.67 | $43.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $27.54 Median $40.74 Typical High $100.00 | Facility | None | $27.54 | $40.74 | $100.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $36.31 | Professional | None | $27.54 | $33.11 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $66.07 Typical High $93.33 | Facility | None | $39.81 | $66.07 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $72.44 | Professional | None | $22.91 | $38.90 | $72.44 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $32.36 | Professional | None | $23.44 | $32.36 | $32.36 |
Pacific Source Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $74.13 | Facility | None | $36.31 | $43.65 | $74.13 |
Premera BCBS Setting Facility Modifier None Typical Low $36.31 Median $64.57 Typical High $114.82 | Facility | None | $36.31 | $64.57 | $114.82 |
Premera BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | None | $33.11 | $33.11 | $43.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $36.31 Median $60.26 Typical High $100.00 | Facility | None | $36.31 | $60.26 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $36.31 | Professional | None | $27.54 | $33.11 | $36.31 |
United Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $43.65 | Facility | None | $36.31 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $40.74 | Professional | None | $15.49 | $16.60 | $40.74 |
Wellpoint Setting Professional Modifier None Typical Low $16.60 Median $36.31 Typical High $66.07 | Professional | None | $16.60 | $36.31 | $66.07 |
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 $17.38 Median $17.38 Typical High $21.88 | Professional | 52 · Reduced service | $17.38 | $17.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $8.71 | Professional | 53 · Discontinued | $6.92 | $6.92 | $8.71 |
Where Washington sits
The same service costs 10.2 times more in Kansas 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· 42nd of 51
$34.67
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.