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 $60.26 Median $60.26 Typical High $199.53 | Facility | None | $60.26 | $60.26 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | None | $60.26 | $60.26 | $61.66 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $177.83 | Facility | None | $47.86 | $70.79 | $177.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $64.57 | Professional | None | $47.86 | $57.54 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $165.96 | Facility | None | $93.33 | $131.83 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $87.10 | Professional | None | $25.70 | $33.88 | $87.10 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Pacific Source Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $128.82 | Facility | None | $64.57 | $77.62 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $64.57 Median $112.20 Typical High $177.83 | Facility | None | $64.57 | $112.20 | $177.83 |
Premera BCBS Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $77.62 | Professional | None | $51.29 | $57.54 | $77.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $177.83 | Facility | None | $64.57 | $95.50 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $64.57 | Professional | None | $47.86 | $57.54 | $64.57 |
United Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $77.62 | Facility | None | $64.57 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $64.57 | Professional | None | $22.91 | $26.92 | $64.57 |
Wellpoint Setting Professional Modifier None Typical Low $28.84 Median $64.57 Typical High $114.82 | Professional | None | $28.84 | $64.57 | $114.82 |
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 $30.20 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.59 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.59 |
Where Washington sits
The same service costs 6.0 times more in Alaska 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· 21st of 51
$60.26
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.