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 $38.02 Median $38.02 Typical High $125.89 | Facility | None | $38.02 | $38.02 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $56.23 | Professional | None | $38.02 | $38.02 | $56.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $56.23 Typical High $112.20 | Facility | None | $30.20 | $56.23 | $112.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $34.67 Median $204.17 Typical High $302.00 | Professional | None | $34.67 | $204.17 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $112.20 | Facility | None | $58.88 | $66.07 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $54.95 | Professional | None | $21.88 | $41.69 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $102.33 | Professional | None | $32.36 | $47.86 | $102.33 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $81.28 | Facility | None | $40.74 | $40.74 | $81.28 |
Premera BCBS Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $123.03 | Facility | None | $44.67 | $70.79 | $123.03 |
Premera BCBS Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $48.98 | Professional | None | $36.31 | $36.31 | $48.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $40.74 Median $63.10 Typical High $112.20 | Facility | None | $40.74 | $63.10 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $45.71 | Professional | None | $34.67 | $40.74 | $45.71 |
United Setting Facility Modifier None Typical Low $40.74 Median $48.98 Typical High $48.98 | Facility | None | $40.74 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $45.71 | Professional | None | $16.98 | $16.98 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $18.20 Median $40.74 Typical High $72.44 | Professional | None | $18.20 | $40.74 | $72.44 |
3 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 $19.05 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | 59 · Distinct service | $25.12 | $40.74 | $40.74 |
Where Washington sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$42.66
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.