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 $77.62 Median $77.62 Typical High $251.19 | Facility | None | $77.62 | $77.62 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | None | $77.62 | $77.62 | $79.43 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $61.66 Median $93.33 Typical High $223.87 | Facility | None | $61.66 | $93.33 | $223.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $81.28 | Professional | None | $61.66 | $74.13 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $223.87 | Facility | None | $120.23 | $147.91 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $85.11 Typical High $112.20 | Professional | None | $42.66 | $85.11 | $112.20 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Pacific Source Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $165.96 | Facility | None | $81.28 | $95.50 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $81.28 Median $144.54 Typical High $223.87 | Facility | None | $81.28 | $144.54 | $223.87 |
Premera BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None | $74.13 | $74.13 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $81.28 Median $128.82 Typical High $223.87 | Facility | None | $81.28 | $128.82 | $223.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $81.28 | Professional | None | $61.66 | $74.13 | $81.28 |
United Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $97.72 | Facility | None | $81.28 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $91.20 | Professional | None | $34.67 | $34.67 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $81.28 Typical High $147.91 | Professional | None | $37.15 | $81.28 | $147.91 |
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 $38.90 Median $38.90 Typical High $39.81 | Professional | 52 · Reduced service | $38.90 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.85 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.85 |
Where Washington sits
The same service costs 4.9 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· 28th of 51
$77.62
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.