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 $5.25 Median $5.25 Typical High $16.98 | Facility | None | $5.25 | $5.25 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $7.94 | Professional | None | $5.25 | $5.25 | $7.94 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.17 Median $6.92 Typical High $15.49 | Facility | None | $4.17 | $6.92 | $15.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.17 Median $5.01 Typical High $5.62 | Professional | None | $4.17 | $5.01 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $10.00 Typical High $17.78 | Facility | None | $5.75 | $10.00 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $5.89 Typical High $8.13 | Professional | None | $3.47 | $5.89 | $8.13 |
Molina Setting Professional Modifier None Typical Low $3.55 Median $4.90 Typical High $4.90 | Professional | None | $3.55 | $4.90 | $4.90 |
Pacific Source Setting Facility Modifier None Typical Low $5.62 Median $6.61 Typical High $11.48 | Facility | None | $5.62 | $6.61 | $11.48 |
Premera BCBS Setting Facility Modifier None Typical Low $5.62 Median $9.77 Typical High $15.49 | Facility | None | $5.62 | $9.77 | $15.49 |
Premera BCBS Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $6.61 | Professional | None | $5.01 | $5.01 | $6.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $5.62 Median $9.12 Typical High $15.49 | Facility | None | $5.62 | $9.12 | $15.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.17 Median $5.01 Typical High $5.62 | Professional | None | $4.17 | $5.01 | $5.62 |
United Setting Facility Modifier None Typical Low $5.62 Median $6.61 Typical High $6.61 | Facility | None | $5.62 | $6.61 | $6.61 |
United Setting Professional Modifier None Typical Low $2.34 Median $2.51 Typical High $6.31 | Professional | None | $2.34 | $2.51 | $6.31 |
Wellpoint Setting Professional Modifier None Typical Low $2.51 Median $5.62 Typical High $10.00 | Professional | None | $2.51 | $5.62 | $10.00 |
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 $2.63 Median $2.63 Typical High $3.31 | Professional | 52 · Reduced service | $2.63 | $2.63 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $1.32 | Professional | 53 · Discontinued | $1.05 | $1.05 | $1.32 |
Where Washington sits
The same service costs 4.8 times more in Kansas than in Kentucky. 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· 31st of 51
$5.25
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.