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 $12.59 Median $12.59 Typical High $58.88 | Facility | None | $12.59 | $12.59 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.59 Typical High $18.62 | Professional | None | $10.96 | $12.59 | $18.62 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $36.31 | Facility | None | $10.00 | $15.14 | $36.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $13.18 | Professional | None | $10.00 | $12.02 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $21.88 Typical High $38.90 | Facility | None | $13.80 | $21.88 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.80 Typical High $19.05 | Professional | None | $7.41 | $13.80 | $19.05 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $11.75 | Professional | None | $8.51 | $11.75 | $11.75 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $14.45 Typical High $25.70 | Facility | None | $13.18 | $14.45 | $25.70 |
Pacific Source Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Premera BCBS Setting Facility Modifier None Typical Low $13.18 Median $23.44 Typical High $36.31 | Facility | None | $13.18 | $23.44 | $36.31 |
Premera BCBS Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $15.85 | Professional | None | $12.02 | $12.02 | $15.85 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.18 Median $21.38 Typical High $36.31 | Facility | None | $13.18 | $21.38 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $13.18 | Professional | None | $10.00 | $12.02 | $13.18 |
United Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $15.85 | Facility | None | $13.18 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $14.79 | Professional | None | $5.62 | $6.03 | $14.79 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $13.18 Typical High $23.99 | Professional | None | $6.03 | $13.18 | $23.99 |
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 $6.17 Median $6.17 Typical High $6.46 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.57 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.57 |
Where Washington sits
The same service costs 3.7 times more in Kansas 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· 28th of 51
$12.59
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.