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 $25.70 Median $25.70 Typical High $83.18 | Facility | None | $25.70 | $25.70 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | None | $25.70 | $25.70 | $26.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $20.42 Median $35.48 Typical High $75.86 | Facility | None | $20.42 | $35.48 | $75.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $23.44 Median $173.78 Typical High $204.17 | Professional | None | $23.44 | $173.78 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $56.23 Typical High $70.79 | Facility | None | $39.81 | $56.23 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $27.54 Typical High $37.15 | Professional | None | $13.80 | $27.54 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $67.61 | Professional | None | $21.88 | $31.62 | $67.61 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $75.86 | Professional | None | $21.88 | $23.99 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $60.26 | Facility | None | $27.54 | $27.54 | $60.26 |
Premera BCBS Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $81.28 | Facility | None | $30.20 | $47.86 | $81.28 |
Premera BCBS Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | None | $24.55 | $24.55 | $33.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $27.54 Median $41.69 Typical High $75.86 | Facility | None | $27.54 | $41.69 | $75.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $30.90 | Professional | None | $23.44 | $24.55 | $30.90 |
United Setting Facility Modifier None Typical Low $27.54 Median $33.11 Typical High $33.11 | Facility | None | $27.54 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $30.20 | Professional | None | $11.48 | $11.48 | $30.20 |
Wellpoint Setting Professional Modifier None Typical Low $12.30 Median $27.54 Typical High $48.98 | Professional | None | $12.30 | $27.54 | $48.98 |
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 $12.88 Median $12.88 Typical High $13.18 | Professional | 52 · Reduced service | $12.88 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.25 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.25 |
Where Washington sits
The same service costs 5.4 times more in Alaska 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· 23rd of 51
$28.18
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.