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 $57.54 Median $57.54 Typical High $186.21 | Facility | None | $57.54 | $57.54 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | None | $57.54 | $57.54 | $58.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $45.71 Median $67.61 Typical High $165.96 | Facility | None | $45.71 | $67.61 | $165.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $60.26 | Professional | None | $45.71 | $54.95 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $89.13 Typical High $154.88 | Facility | None | $15.49 | $89.13 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $30.90 Typical High $83.18 | Professional | None | $15.49 | $30.90 | $83.18 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $53.70 | Professional | None | $38.90 | $53.70 | $53.70 |
Pacific Source Setting Facility Modifier None Typical Low $60.26 Median $69.18 Typical High $123.03 | Facility | None | $60.26 | $69.18 | $123.03 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $107.15 Typical High $165.96 | Facility | None | $60.26 | $107.15 | $165.96 |
Premera BCBS Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $72.44 | Professional | None | $47.86 | $54.95 | $72.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $165.96 | Facility | None | $60.26 | $91.20 | $165.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $60.26 | Professional | None | $45.71 | $54.95 | $60.26 |
United Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $72.44 | Facility | None | $60.26 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $7.08 Median $25.70 Typical High $60.26 | Professional | None | $7.08 | $25.70 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $27.54 Median $60.26 Typical High $109.65 | Professional | None | $27.54 | $60.26 | $109.65 |
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 $28.84 Median $28.84 Typical High $29.51 | Professional | 52 · Reduced service | $28.84 | $28.84 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.75 |
Where Washington sits
The same service costs 9.1 times more in Alaska 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· 17th of 51
$57.54
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.