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 $11.22 Median $11.22 Typical High $12.30 | Facility | None | $11.22 | $11.22 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $12.30 | Professional | None | $10.00 | $11.22 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $12.59 Typical High $21.38 | Professional | None | $7.94 | $12.59 | $21.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $7.59 | Facility | None | $6.31 | $6.31 | $7.59 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.96 Median $22.39 Typical High $79.43 | Professional | None | $10.96 | $22.39 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $12.88 | Professional | None | $7.41 | $7.41 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $18.62 | Professional | None | $7.41 | $10.00 | $18.62 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.50 | Professional | None | $5.13 | $5.13 | $5.50 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $16.22 | Facility | None | $13.18 | $15.85 | $16.22 |
Premera BCBS Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.22 | Professional | None | $10.96 | $10.96 | $16.22 |
United Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $24.55 | Professional | None | $10.00 | $11.75 | $24.55 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $17.38 | Professional | None | $8.51 | $11.48 | $17.38 |
4 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 $5.62 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.24 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $6.76 Median $6.76 Typical High $16.22 | Professional | 59 · Distinct service | $6.76 | $6.76 | $16.22 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $8.51 Median $10.96 Typical High $15.85 | Professional | 76 · Repeat, same provider | $8.51 | $10.96 | $15.85 |
Where Washington sits
The same service costs 2.5 times more in Alaska than in Maryland. 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· 24th of 51
$10.96
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.