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 $114.82 Median $114.82 Typical High $380.19 | Facility | None | $114.82 | $114.82 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $53.70 Median $104.71 Typical High $660.69 | Facility | None | $53.70 | $104.71 | $660.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $63.10 Median $134.90 Typical High $213.80 | Professional | None | $63.10 | $134.90 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $63.10 Typical High $208.93 | Facility | None | $6.03 | $63.10 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $128.82 | Professional | None | $48.98 | $64.57 | $128.82 |
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 $117.49 Median $141.25 Typical High $190.55 | Facility | None | $117.49 | $141.25 | $190.55 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $131.83 | Facility | None | $93.33 | $131.83 | $131.83 |
Premera BCBS Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $489.78 Typical High $954.99 | Facility | None | $134.90 | $489.78 | $954.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $134.90 Typical High $204.17 | Professional | None | $60.26 | $134.90 | $204.17 |
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 $28.18 Median $43.65 Typical High $102.33 | Professional | None | $28.18 | $43.65 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $21.38 Median $46.77 Typical High $85.11 | Professional | None | $21.38 | $46.77 | $85.11 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Where Washington sits
The same service costs 10.2 times more in Alaska than in Hawaii. 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· 13th of 51
$93.33
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.