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 $33.11 Median $33.11 Typical High $107.15 | Facility | None | $33.11 | $33.11 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | None | $33.11 | $33.11 | $48.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $47.86 Typical High $95.50 | Facility | None | $26.30 | $47.86 | $95.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $29.51 Median $60.26 Typical High $380.19 | Professional | None | $29.51 | $60.26 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $63.10 Typical High $112.20 | Facility | None | $51.29 | $63.10 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $47.86 | Professional | None | $21.88 | $36.31 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $87.10 | Professional | None | $30.90 | $43.65 | $87.10 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $75.86 | Professional | None | $28.18 | $30.90 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $70.79 | Facility | None | $35.48 | $37.15 | $70.79 |
Premera BCBS Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $104.71 | Facility | None | $38.90 | $61.66 | $104.71 |
Premera BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | None | $31.62 | $31.62 | $41.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $35.48 Median $57.54 Typical High $95.50 | Facility | None | $35.48 | $57.54 | $95.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $40.74 | Professional | None | $29.51 | $35.48 | $40.74 |
United Setting Facility Modifier None Typical Low $35.48 Median $41.69 Typical High $41.69 | Facility | None | $35.48 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $38.90 | Professional | None | $14.79 | $14.79 | $38.90 |
Wellpoint Setting Professional Modifier None Typical Low $15.85 Median $35.48 Typical High $63.10 | Professional | None | $15.85 | $35.48 | $63.10 |
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 $16.60 Median $16.60 Typical High $20.89 | Professional | 52 · Reduced service | $16.60 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $8.32 | Professional | 53 · Discontinued | $6.61 | $6.61 | $8.32 |
Where Washington sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 23rd of 51
$37.15
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.