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 $11.48 Median $12.30 Typical High $38.02 | Facility | None | $11.48 | $12.30 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $18.62 | Professional | None | $11.48 | $11.48 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.33 Median $15.49 Typical High $33.88 | Facility | None | $9.33 | $15.49 | $33.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $12.30 | Professional | None | $9.33 | $10.96 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $21.88 Typical High $38.90 | Facility | None | $12.88 | $21.88 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $16.98 | Professional | None | $7.41 | $13.18 | $16.98 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Pacific Source Setting Facility Modifier None Typical Low $12.30 Median $13.49 Typical High $24.55 | Facility | None | $12.30 | $13.49 | $24.55 |
Premera BCBS Setting Facility Modifier None Typical Low $12.30 Median $21.38 Typical High $33.88 | Facility | None | $12.30 | $21.38 | $33.88 |
Premera BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $14.79 | Professional | None | $10.96 | $10.96 | $14.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $12.30 Median $20.42 Typical High $33.88 | Facility | None | $12.30 | $20.42 | $33.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $12.30 | Professional | None | $9.33 | $10.96 | $12.30 |
United Setting Facility Modifier None Typical Low $12.30 Median $14.79 Typical High $14.79 | Facility | None | $12.30 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $14.79 | Professional | None | $7.41 | $10.00 | $14.79 |
Wellpoint Setting Professional Modifier None Typical Low $5.50 Median $12.30 Typical High $22.39 | Professional | None | $5.50 | $12.30 | $22.39 |
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 $5.75 Median $5.75 Typical High $7.24 | Professional | 52 · Reduced service | $5.75 | $5.75 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.88 |
Where Washington sits
The same service costs 3.5 times more in Kansas than in Georgia. 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
$12.30
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.