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 $7.08 Median $7.08 Typical High $11.48 | Facility | None | $7.08 | $7.08 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $11.22 | Professional | None | $7.08 | $7.08 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5.62 Median $9.33 Typical High $20.42 | Facility | None | $5.62 | $9.33 | $20.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $7.41 | Professional | None | $5.62 | $6.76 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $12.59 Typical High $21.88 | Facility | None | $7.76 | $12.59 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $7.94 Typical High $10.72 | Professional | None | $4.37 | $7.94 | $10.72 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $6.61 | Professional | None | $4.79 | $6.61 | $6.61 |
Pacific Source Setting Facility Modifier None Typical Low $7.41 Median $8.32 Typical High $14.79 | Facility | None | $7.41 | $8.32 | $14.79 |
Premera BCBS Setting Facility Modifier None Typical Low $7.41 Median $13.18 Typical High $20.42 | Facility | None | $7.41 | $13.18 | $20.42 |
Premera BCBS Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $8.91 | Professional | None | $6.76 | $6.76 | $8.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $7.41 Median $12.30 Typical High $20.42 | Facility | None | $7.41 | $12.30 | $20.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $7.41 | Professional | None | $5.62 | $6.76 | $7.41 |
United Setting Facility Modifier None Typical Low $7.41 Median $8.91 Typical High $8.91 | Facility | None | $7.41 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $3.16 Median $3.39 Typical High $8.32 | Professional | None | $3.16 | $3.39 | $8.32 |
Wellpoint Setting Professional Modifier None Typical Low $3.39 Median $7.41 Typical High $13.49 | Professional | None | $3.39 | $7.41 | $13.49 |
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 $3.55 Median $3.55 Typical High $4.17 | Professional | 52 · Reduced service | $3.55 | $3.55 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.66 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.66 |
Where Washington sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 32nd of 51
$7.24
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.