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 $47.86 Median $47.86 Typical High $234.42 | Facility | None | $47.86 | $47.86 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $77.62 | Professional | None | $44.67 | $47.86 | $77.62 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $38.02 Median $70.79 Typical High $141.25 | Facility | None | $38.02 | $70.79 | $141.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $43.65 Median $380.19 Typical High $398.11 | Professional | None | $43.65 | $380.19 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $104.71 Typical High $131.83 | Facility | None | $74.13 | $104.71 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $52.48 Typical High $69.18 | Professional | None | $25.70 | $52.48 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $128.82 | Professional | None | $40.74 | $60.26 | $128.82 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $75.86 | Professional | None | $40.74 | $44.67 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $102.33 | Facility | None | $51.29 | $51.29 | $102.33 |
Premera BCBS Setting Facility Modifier None Typical Low $56.23 Median $89.13 Typical High $154.88 | Facility | None | $56.23 | $89.13 | $154.88 |
Premera BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $61.66 | Professional | None | $45.71 | $45.71 | $61.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $81.28 Typical High $141.25 | Facility | None | $51.29 | $81.28 | $141.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $57.54 | Professional | None | $43.65 | $46.77 | $57.54 |
United Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $61.66 | Facility | None | $51.29 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $77.62 | Professional | None | $30.90 | $30.90 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $22.91 Median $51.29 Typical High $91.20 | Professional | None | $22.91 | $51.29 | $91.20 |
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 $23.99 Median $23.99 Typical High $24.55 | Professional | 52 · Reduced service | $23.99 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $10.00 | Professional | 53 · Discontinued | $9.55 | $9.55 | $10.00 |
Where Washington sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 32nd of 51
$53.70
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.