How much rates vary
Facilitymedian $355 · 10th to 90th $54 to $776Professionalmedian $72 · 10th to 90th $54 to $105
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 $53.70 Median $60.26 Typical High $95.50 | Facility | None | $53.70 | $60.26 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $74.13 | Professional | None | $53.70 | $60.26 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $104.71 | Professional | None | $57.54 | $74.13 | $104.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $426.58 Typical High $891.25 | Facility | None | $52.48 | $426.58 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $120.23 | Professional | None | $64.57 | $72.44 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $50.12 | Facility | None | $34.67 | $34.67 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $81.28 | Professional | None | $50.12 | $52.48 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $91.20 | Professional | None | $51.29 | $60.26 | $91.20 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $165.96 | Professional | None | $50.12 | $67.61 | $165.96 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $158.49 | Facility | None | $87.10 | $128.82 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $102.33 | Facility | None | $93.33 | $102.33 | $102.33 |
Premera BCBS Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $93.33 | Professional | None | $81.28 | $93.33 | $93.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $190.55 Median $457.09 Typical High $891.25 | Facility | None | $190.55 | $457.09 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $104.71 | Professional | None | $64.57 | $72.44 | $104.71 |
United Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $1,071.52 | Facility | None | $524.81 | $691.83 | $1,071.52 |
United Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $109.65 | Professional | None | $58.88 | $81.28 | $109.65 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $100.00 | Professional | None | $70.79 | $87.10 | $100.00 |
7 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 AF · Specialist physician Typical Low $61.66 Median $70.79 Typical High $70.79 | Professional | AF · Specialist physician | $61.66 | $70.79 | $70.79 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $38.90 Median $53.70 Typical High $56.23 | Professional | HO · Master's level | $38.90 | $53.70 | $56.23 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $47.86 Median $60.26 Typical High $60.26 | Professional | TD · Registered nurse | $47.86 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 59 · Distinct service | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | 93 · Audio-only telehealth | $70.79 | $70.79 | $93.33 |
Ambetter Setting Professional Modifier FQ · Audio-only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | FQ · Audio-only | $66.07 | $66.07 | $66.07 |
Ambetter Setting Professional Modifier TG · Complex care level Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | TG · Complex care level | $66.07 | $66.07 | $95.50 |
Where Washington sits
The same service costs 1.9 times more in North Dakota 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· 15th of 51
$72.44
ND $100KY $53.70
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.