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 $34.67 Median $34.67 Typical High $39.81 | Facility | None | $34.67 | $34.67 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $34.67 | Professional | None | $26.30 | $34.67 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $67.61 | Professional | None | $30.90 | $33.88 | $67.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.39 Median $162.18 Typical High $354.81 | Facility | None | $22.39 | $162.18 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $263.03 | Professional | None | $25.70 | $25.70 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $32.36 | Professional | None | $18.20 | $21.38 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $33.11 Typical High $69.18 | Professional | None | $21.38 | $33.11 | $69.18 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $39.81 Typical High $74.13 | Professional | None | $20.42 | $39.81 | $74.13 |
Pacific Source Setting Facility Modifier None Typical Low $19.50 Median $58.88 Typical High $58.88 | Facility | None | $19.50 | $58.88 | $58.88 |
Premera BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Facility | None | $33.88 | $33.88 | $39.81 |
Premera BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $338.84 | Facility | None | $117.49 | $173.78 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $54.95 | Professional | None | $25.70 | $25.70 | $54.95 |
United Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Facility | None | $173.78 | $229.09 | $354.81 |
United Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $44.67 | Professional | None | $22.39 | $33.11 | $44.67 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | None | $30.90 | $43.65 | $43.65 |
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 $14.13 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $14.13 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $5.62 | $6.92 | $6.92 |
Where Washington sits
The same service costs 2.8 times more in Alaska 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· 12th of 51
$34.67
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.