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 $6.31 Median $6.31 Typical High $20.42 | Facility | None | $6.31 | $6.31 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.94 | Professional | None | $6.31 | $6.31 | $7.94 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5.01 Median $7.59 Typical High $18.20 | Facility | None | $5.01 | $7.59 | $18.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $6.61 | Professional | None | $5.01 | $6.03 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $12.02 Typical High $21.38 | Facility | None | $6.92 | $12.02 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $6.92 Typical High $9.77 | Professional | None | $4.17 | $6.92 | $9.77 |
Molina Setting Professional Modifier None Typical Low $4.27 Median $5.89 Typical High $5.89 | Professional | None | $4.27 | $5.89 | $5.89 |
Pacific Source Setting Facility Modifier None Typical Low $6.61 Median $7.59 Typical High $13.80 | Facility | None | $6.61 | $7.59 | $13.80 |
Premera BCBS Setting Facility Modifier None Typical Low $6.61 Median $11.75 Typical High $18.20 | Facility | None | $6.61 | $11.75 | $18.20 |
Premera BCBS Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.94 | Professional | None | $6.03 | $6.03 | $7.94 |
Regence BlueShield Setting Facility Modifier None Typical Low $6.61 Median $10.96 Typical High $18.20 | Facility | None | $6.61 | $10.96 | $18.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $6.61 | Professional | None | $5.01 | $6.03 | $6.61 |
United Setting Facility Modifier None Typical Low $6.61 Median $7.94 Typical High $7.94 | Facility | None | $6.61 | $7.94 | $7.94 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.02 Typical High $7.41 | Professional | None | $2.82 | $3.02 | $7.41 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $6.61 Typical High $12.02 | Professional | None | $3.02 | $6.61 | $12.02 |
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 $3.09 Median $3.09 Typical High $3.98 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.58 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.58 |
Where Washington sits
The same service costs 3.6 times more in Alaska than in Kansas. 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· 29th of 51
$6.31
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.