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 $30.20 Median $30.20 Typical High $48.98 | Facility | None | $30.20 | $30.20 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | None | $30.20 | $30.20 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.49 Median $354.81 Typical High $741.31 | Facility | None | $13.49 | $354.81 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $26.30 Median $51.29 Typical High $309.03 | Professional | None | $26.30 | $51.29 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | None | $53.70 | $53.70 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $35.48 Typical High $51.29 | Professional | None | $23.99 | $35.48 | $51.29 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $46.77 Typical High $85.11 | Professional | None | $12.02 | $46.77 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $75.86 | Facility | None | $35.48 | $35.48 | $75.86 |
Pacific Source Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $37.15 | Professional | None | $35.48 | $35.48 | $37.15 |
Premera BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.70 Typical High $25.70 | Facility | None | $25.12 | $25.70 | $25.70 |
Premera BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $707.95 | Facility | None | $245.47 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $37.15 | Professional | None | $26.30 | $26.30 | $37.15 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $60.26 | Professional | None | $29.51 | $36.31 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $41.69 | Professional | None | $19.05 | $25.70 | $41.69 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Where Washington sits
The same service costs 3.0 times more in Minnesota than in Pennsylvania. 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· 17th of 51
$35.48
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.