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 $31.62 Median $33.11 Typical High $102.33 | Facility | None | $31.62 | $33.11 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $46.77 | Professional | None | $28.18 | $31.62 | $46.77 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.12 Median $44.67 Typical High $91.20 | Facility | None | $25.12 | $44.67 | $91.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $28.18 Median $56.23 Typical High $398.11 | Professional | None | $28.18 | $56.23 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $87.10 | Facility | None | $48.98 | $60.26 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $34.67 Typical High $45.71 | Professional | None | $16.98 | $34.67 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $83.18 | Professional | None | $26.92 | $38.90 | $83.18 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $29.51 Typical High $75.86 | Professional | None | $26.92 | $29.51 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $67.61 | Facility | None | $33.11 | $33.11 | $67.61 |
Premera BCBS Setting Facility Modifier None Typical Low $37.15 Median $58.88 Typical High $100.00 | Facility | None | $37.15 | $58.88 | $100.00 |
Premera BCBS Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | None | $30.20 | $30.20 | $39.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $33.11 Median $51.29 Typical High $91.20 | Facility | None | $33.11 | $51.29 | $91.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $37.15 | Professional | None | $28.18 | $30.20 | $37.15 |
United Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $39.81 | Facility | None | $33.11 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $45.71 | Professional | None | $19.95 | $19.95 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $15.14 Median $33.11 Typical High $60.26 | Professional | None | $15.14 | $33.11 | $60.26 |
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 $15.85 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.46 |
Where Washington sits
The same service costs 5.6 times more in Kansas 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· 33rd of 51
$33.11
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.