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 $43.65 Median $43.65 Typical High $64.57 | Facility | None | $43.65 | $43.65 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | None | $39.81 | $43.65 | $43.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.95 Median $323.59 Typical High $660.69 | Facility | None | $19.95 | $323.59 | $660.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $23.99 Median $50.12 Typical High $81.28 | Professional | None | $23.99 | $50.12 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $12.88 Typical High $77.62 | Facility | None | $2.19 | $12.88 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $47.86 | Professional | None | $18.62 | $23.99 | $47.86 |
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 $44.67 Median $53.70 Typical High $53.70 | Facility | None | $44.67 | $53.70 | $53.70 |
Premera BCBS Setting Facility Modifier None Typical Low $35.48 Median $48.98 Typical High $48.98 | Facility | None | $35.48 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
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 $22.39 Median $50.12 Typical High $77.62 | Professional | None | $22.39 | $50.12 | $77.62 |
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 $10.47 Median $16.22 Typical High $36.31 | Professional | None | $10.47 | $16.22 | $36.31 |
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 $21.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Where Washington sits
The same service costs 8.5 times more in Alaska than in Arizona. 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· 15th of 51
$35.48
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.