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 $4.57 Median $4.57 Typical High $14.79 | Facility | None | $4.57 | $4.57 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.57 Typical High $4.68 | Professional | None | $3.39 | $4.57 | $4.68 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.63 Median $5.37 Typical High $13.49 | Facility | None | $3.63 | $5.37 | $13.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $4.79 | Professional | None | $3.63 | $4.37 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $7.08 Typical High $12.59 | Facility | None | $4.79 | $7.08 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $6.76 | Professional | None | $2.34 | $3.02 | $6.76 |
Molina Setting Professional Modifier None Typical Low $3.09 Median $4.27 Typical High $4.27 | Professional | None | $3.09 | $4.27 | $4.27 |
Pacific Source Setting Facility Modifier None Typical Low $4.79 Median $5.37 Typical High $8.32 | Facility | None | $4.79 | $5.37 | $8.32 |
Premera BCBS Setting Facility Modifier None Typical Low $4.79 Median $8.51 Typical High $13.49 | Facility | None | $4.79 | $8.51 | $13.49 |
Premera BCBS Setting Professional Modifier None Typical Low $3.80 Median $4.37 Typical High $5.75 | Professional | None | $3.80 | $4.37 | $5.75 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.79 Median $7.24 Typical High $13.49 | Facility | None | $4.79 | $7.24 | $13.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $4.79 | Professional | None | $3.63 | $4.37 | $4.79 |
United Setting Facility Modifier None Typical Low $4.79 Median $5.75 Typical High $5.75 | Facility | None | $4.79 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $5.13 | Professional | None | $2.04 | $2.04 | $5.13 |
Wellpoint Setting Professional Modifier None Typical Low $2.19 Median $4.79 Typical High $8.71 | Professional | None | $2.19 | $4.79 | $8.71 |
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 $2.29 Median $2.29 Typical High $2.34 | Professional | 52 · Reduced service | $2.29 | $2.29 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.91 Typical High $0.93 | Professional | 53 · Discontinued | $0.91 | $0.91 | $0.93 |
Where Washington sits
The same service costs 8.3 times more in Kansas than in Kentucky. 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· 27th of 51
$4.57
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.