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 $128.82 | Facility | None | $39.81 | $39.81 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $41.69 | Professional | None | $38.90 | $39.81 | $41.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $31.62 Median $58.88 Typical High $117.49 | Facility | None | $31.62 | $58.88 | $117.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $36.31 Median $316.23 Typical High $398.11 | Professional | None | $36.31 | $316.23 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $112.20 | Facility | None | $61.66 | $87.10 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $43.65 Typical High $57.54 | Professional | None | $21.88 | $43.65 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $107.15 | Professional | None | $33.88 | $50.12 | $107.15 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $75.86 | Professional | None | $33.88 | $37.15 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $93.33 | Facility | None | $42.66 | $47.86 | $93.33 |
Pacific Source Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Premera BCBS Setting Facility Modifier None Typical Low $46.77 Median $74.13 Typical High $125.89 | Facility | None | $46.77 | $74.13 | $125.89 |
Premera BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $51.29 | Professional | None | $38.02 | $38.02 | $51.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $117.49 | Facility | None | $42.66 | $66.07 | $117.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $47.86 | Professional | None | $36.31 | $40.74 | $47.86 |
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 $25.70 Median $25.70 Typical High $64.57 | Professional | None | $25.70 | $25.70 | $64.57 |
Wellpoint Setting Professional Modifier None Typical Low $19.05 Median $42.66 Typical High $75.86 | Professional | None | $19.05 | $42.66 | $75.86 |
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 $20.89 | Professional | 52 · Reduced service | $19.95 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.32 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 31st of 51
$44.67
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.