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 $25.12 Median $25.12 Typical High $83.18 | Facility | None | $25.12 | $25.12 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $38.02 | Professional | None | $21.38 | $25.12 | $38.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.95 Median $34.67 Typical High $74.13 | Facility | None | $19.95 | $34.67 | $74.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $22.91 Median $45.71 Typical High $363.08 | Professional | None | $22.91 | $45.71 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $47.86 Typical High $69.18 | Facility | None | $38.90 | $47.86 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $27.54 Typical High $36.31 | Professional | None | $13.80 | $27.54 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $67.61 | Professional | None | $21.38 | $31.62 | $67.61 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $75.86 | Professional | None | $21.38 | $23.44 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $26.92 Median $30.20 Typical High $58.88 | Facility | None | $26.92 | $30.20 | $58.88 |
Premera BCBS Setting Facility Modifier None Typical Low $29.51 Median $46.77 Typical High $81.28 | Facility | None | $29.51 | $46.77 | $81.28 |
Premera BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | None | $23.99 | $23.99 | $32.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $26.92 Median $40.74 Typical High $74.13 | Facility | None | $26.92 | $40.74 | $74.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $30.20 | Professional | None | $22.39 | $23.99 | $30.20 |
United Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $32.36 | Facility | None | $26.92 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $34.67 | Professional | None | $15.85 | $16.22 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $26.92 Typical High $48.98 | Professional | None | $12.02 | $26.92 | $48.98 |
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 $12.59 Median $12.59 Typical High $13.18 | Professional | 52 · Reduced service | $12.59 | $12.59 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.25 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.25 |
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· 24th of 51
$26.92
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.