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 $39.81 Median $39.81 Typical High $131.83 | Facility | None | $39.81 | $39.81 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | None | $39.81 | $39.81 | $51.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $32.36 Median $58.88 Typical High $117.49 | Facility | None | $32.36 | $58.88 | $117.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $36.31 Median $323.59 Typical High $371.54 | Professional | None | $36.31 | $323.59 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $77.62 Typical High $138.04 | Facility | None | $63.10 | $77.62 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $44.67 Typical High $58.88 | Professional | None | $26.92 | $44.67 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $107.15 | Professional | None | $38.02 | $53.70 | $107.15 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $75.86 | Professional | None | $33.88 | $38.02 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $87.10 | Facility | None | $42.66 | $42.66 | $87.10 |
Premera BCBS Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $128.82 | Facility | None | $46.77 | $75.86 | $128.82 |
Premera BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | None | $38.90 | $38.90 | $51.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $42.66 Median $70.79 Typical High $117.49 | Facility | None | $42.66 | $70.79 | $117.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $50.12 | Professional | None | $36.31 | $42.66 | $50.12 |
United Setting Facility Modifier None Typical Low $42.66 Median $51.29 Typical High $51.29 | Facility | None | $42.66 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $47.86 | Professional | None | $17.78 | $17.78 | $47.86 |
Wellpoint Setting Professional Modifier None Typical Low $19.50 Median $42.66 Typical High $77.62 | Professional | None | $19.50 | $42.66 | $77.62 |
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 $19.95 Median $19.95 Typical High $25.70 | Professional | 52 · Reduced service | $19.95 | $19.95 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $10.23 | Professional | 53 · Discontinued | $8.13 | $8.13 | $10.23 |
Where Washington sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 24th of 51
$46.77
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.