How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $53.70 | Professional | None | $36.31 | $46.77 | $53.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Facility | None | $22.39 | $22.39 | $26.92 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $48.98 Median $234.42 Typical High $302.00 | Professional | None | $48.98 | $234.42 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $100.00 | Professional | None | $39.81 | $52.48 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $70.79 Typical High $93.33 | Professional | None | $35.48 | $70.79 | $93.33 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $53.70 Typical High $85.11 | Professional | None | $28.84 | $53.70 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $34.67 Median $61.66 Typical High $72.44 | Facility | None | $34.67 | $61.66 | $72.44 |
Premera BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $100.00 | Professional | None | $48.98 | $69.18 | $100.00 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $112.20 | Professional | None | $38.90 | $56.23 | $112.20 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $61.66 | Professional | None | $34.67 | $42.66 | $61.66 |
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 $18.20 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $7.24 | $9.33 | $9.33 |
Where Washington sits
The same service costs 2.7 times more in Alaska than in New York. 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
$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.