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 $28.18 Median $28.18 Typical High $91.20 | Facility | None | $28.18 | $28.18 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | None | $28.18 | $28.18 | $28.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.39 Median $38.90 Typical High $81.28 | Facility | None | $22.39 | $38.90 | $81.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $25.12 Median $181.97 Typical High $223.87 | Professional | None | $25.12 | $181.97 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $47.86 Typical High $77.62 | Facility | None | $43.65 | $47.86 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $29.51 Typical High $40.74 | Professional | None | $15.14 | $29.51 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $74.13 | Professional | None | $23.99 | $34.67 | $74.13 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $75.86 | Professional | None | $23.99 | $26.30 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $60.26 | Facility | None | $29.51 | $29.51 | $60.26 |
Premera BCBS Setting Facility Modifier None Typical Low $33.11 Median $52.48 Typical High $89.13 | Facility | None | $33.11 | $52.48 | $89.13 |
Premera BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $35.48 | Professional | None | $26.92 | $26.92 | $35.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $29.51 Median $44.67 Typical High $81.28 | Facility | None | $29.51 | $44.67 | $81.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $33.11 | Professional | None | $23.99 | $26.92 | $33.11 |
United Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Facility | None | $29.51 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $33.11 | Professional | None | $12.02 | $12.59 | $33.11 |
Wellpoint Setting Professional Modifier None Typical Low $13.49 Median $29.51 Typical High $53.70 | Professional | None | $13.49 | $29.51 | $53.70 |
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 $14.13 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.75 | Professional | 53 · Discontinued | $5.62 | $5.62 | $5.75 |
Where Washington sits
The same service costs 5.4 times more in Texas than in Alabama. 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· 21st of 51
$30.90
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.