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 $13.49 Median $13.49 Typical High $44.67 | Facility | None | $13.49 | $13.49 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $14.13 | Professional | None | $13.49 | $13.49 | $14.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $39.81 | Facility | None | $10.72 | $16.60 | $39.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $14.45 | Professional | None | $10.72 | $12.88 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $21.88 Typical High $37.15 | Facility | None | $15.14 | $21.88 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $15.14 Typical High $20.42 | Professional | None | $7.41 | $15.14 | $20.42 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $12.59 | Professional | None | $9.33 | $12.59 | $12.59 |
Pacific Source Setting Facility Modifier None Typical Low $14.45 Median $16.60 Typical High $28.84 | Facility | None | $14.45 | $16.60 | $28.84 |
Premera BCBS Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $39.81 | Facility | None | $14.45 | $25.12 | $39.81 |
Premera BCBS Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $17.38 | Professional | None | $12.88 | $12.88 | $17.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $14.45 Median $22.91 Typical High $39.81 | Facility | None | $14.45 | $22.91 | $39.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $14.45 | Professional | None | $10.72 | $12.88 | $14.45 |
United Setting Facility Modifier None Typical Low $14.45 Median $17.38 Typical High $17.38 | Facility | None | $14.45 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $16.22 | Professional | None | $6.03 | $6.03 | $16.22 |
Wellpoint Setting Professional Modifier None Typical Low $6.46 Median $14.45 Typical High $25.70 | Professional | None | $6.46 | $14.45 | $25.70 |
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 $6.76 Median $6.76 Typical High $7.08 | Professional | 52 · Reduced service | $6.76 | $6.76 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.82 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.82 |
Where Washington sits
The same service costs 3.9 times more in Kansas than in Nebraska. 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· 28th of 51
$13.49
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.