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 $5.50 Median $5.50 Typical High $18.20 | Facility | None | $5.50 | $5.50 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.50 Typical High $5.75 | Professional | None | $4.79 | $5.50 | $5.75 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.37 Median $6.76 Typical High $16.22 | Facility | None | $4.37 | $6.76 | $16.22 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $5.89 | Professional | None | $4.37 | $5.25 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $8.71 Typical High $15.14 | Facility | None | $5.50 | $8.71 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $5.62 Typical High $7.94 | Professional | None | $2.88 | $5.62 | $7.94 |
Molina Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $5.13 | Professional | None | $3.80 | $5.13 | $5.13 |
Pacific Source Setting Facility Modifier None Typical Low $5.89 Median $10.00 Typical High $12.02 | Facility | None | $5.89 | $10.00 | $12.02 |
Premera BCBS Setting Facility Modifier None Typical Low $5.89 Median $10.23 Typical High $16.22 | Facility | None | $5.89 | $10.23 | $16.22 |
Premera BCBS Setting Professional Modifier None Typical Low $4.79 Median $5.25 Typical High $7.08 | Professional | None | $4.79 | $5.25 | $7.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $5.89 Median $8.91 Typical High $16.22 | Facility | None | $5.89 | $8.91 | $16.22 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $5.89 | Professional | None | $4.37 | $5.25 | $5.89 |
United Setting Facility Modifier None Typical Low $5.89 Median $7.08 Typical High $7.08 | Facility | None | $5.89 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $6.03 | Professional | None | $2.45 | $2.45 | $6.03 |
Wellpoint Setting Professional Modifier None Typical Low $2.63 Median $5.89 Typical High $10.47 | Professional | None | $2.63 | $5.89 | $10.47 |
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 $2.75 Median $2.75 Typical High $2.82 | Professional | 52 · Reduced service | $2.75 | $2.75 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Where Washington sits
The same service costs 3.9 times more in Kansas than in Vermont. 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· 26th of 51
$5.50
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.