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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $33.11 | Professional | None | $26.92 | $33.11 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $45.71 | Professional | None | $30.90 | $38.02 | $45.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $20.42 | Facility | None | $16.98 | $16.98 | $20.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $186.21 | Professional | None | $33.11 | $43.65 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $38.02 | Professional | None | $22.39 | $22.39 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $53.70 | Professional | None | $21.88 | $29.51 | $53.70 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $18.20 | Professional | None | $12.30 | $14.79 | $18.20 |
Pacific Source Setting Facility Modifier None Typical Low $22.39 Median $44.67 Typical High $45.71 | Facility | None | $22.39 | $44.67 | $45.71 |
Premera BCBS Setting Facility Modifier None Typical Low $30.90 Median $32.36 Typical High $32.36 | Facility | None | $30.90 | $32.36 | $32.36 |
Premera BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | None | $33.11 | $33.11 | $45.71 |
United Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $70.79 | Professional | None | $30.20 | $35.48 | $70.79 |
Wellpoint Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $46.77 | Professional | None | $22.91 | $30.90 | $46.77 |
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 $16.60 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Where Washington sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 19th of 51
$33.11
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.