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 $37.15 Median $43.65 Typical High $120.23 | Facility | None | $37.15 | $43.65 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $37.15 Typical High $37.15 | Professional | None | $25.12 | $37.15 | $37.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.98 Median $64.57 Typical High $660.69 | Facility | None | $16.98 | $64.57 | $660.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $20.42 Median $42.66 Typical High $69.18 | Professional | None | $20.42 | $42.66 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $1.95 Median $18.62 Typical High $85.11 | Facility | None | $1.95 | $18.62 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $40.74 | Professional | None | $15.85 | $19.05 | $40.74 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $85.11 | Professional | None | $39.81 | $43.65 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $37.15 Median $44.67 Typical High $61.66 | Facility | None | $37.15 | $44.67 | $61.66 |
Premera BCBS Setting Facility Modifier None Typical Low $29.51 Median $41.69 Typical High $41.69 | Facility | None | $29.51 | $41.69 | $41.69 |
Premera BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Regence BlueShield Setting Facility Modifier None Typical Low $72.44 Median $489.78 Typical High $954.99 | Facility | None | $72.44 | $489.78 | $954.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.05 Median $42.66 Typical High $64.57 | Professional | None | $19.05 | $42.66 | $64.57 |
United Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $1,023.29 | Facility | None | $501.19 | $660.69 | $1,023.29 |
United Setting Professional Modifier None Typical Low $8.32 Median $13.80 Typical High $30.90 | Professional | None | $8.32 | $13.80 | $30.90 |
Wellpoint Setting Professional Modifier None Typical Low $11.22 Median $25.12 Typical High $44.67 | Professional | None | $11.22 | $25.12 | $44.67 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where Washington sits
The same service costs 11.2 times more in Texas 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· 16th of 51
$29.51
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.