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 $14.79 Median $14.79 Typical High $21.88 | Facility | None | $14.79 | $14.79 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $15.14 | Professional | None | $13.49 | $14.79 | $15.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.75 Median $17.78 Typical High $42.66 | Facility | None | $11.75 | $17.78 | $42.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $15.49 | Professional | None | $11.75 | $14.13 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $22.91 Typical High $40.74 | Facility | None | $15.49 | $22.91 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $15.49 Typical High $21.88 | Professional | None | $7.76 | $15.49 | $21.88 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $13.80 | Professional | None | $10.00 | $13.80 | $13.80 |
Pacific Source Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $31.62 | Facility | None | $15.49 | $19.50 | $31.62 |
Premera BCBS Setting Facility Modifier None Typical Low $15.49 Median $27.54 Typical High $42.66 | Facility | None | $15.49 | $27.54 | $42.66 |
Premera BCBS Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $18.62 | Professional | None | $13.49 | $14.13 | $18.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $15.49 Median $24.55 Typical High $42.66 | Facility | None | $15.49 | $24.55 | $42.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $15.49 | Professional | None | $11.75 | $14.13 | $15.49 |
United Setting Facility Modifier None Typical Low $15.49 Median $18.62 Typical High $18.62 | Facility | None | $15.49 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $16.60 | Professional | None | $6.61 | $6.61 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $7.08 Median $15.49 Typical High $28.18 | Professional | None | $7.08 | $15.49 | $28.18 |
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 $7.41 Median $7.41 Typical High $7.59 | Professional | 52 · Reduced service | $7.41 | $7.41 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.02 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.02 |
Where Washington sits
The same service costs 3.6 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· 27th of 51
$14.79
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.