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 $16.22 Median $26.92 Typical High $63.10 | Facility | None | $16.22 | $26.92 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $33.11 Typical High $58.88 | Professional | None | $12.88 | $33.11 | $58.88 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $19.95 Typical High $70.79 | Professional | None | $18.62 | $19.95 | $70.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $9.12 | Facility | None | $7.59 | $7.59 | $9.12 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $16.22 Median $100.00 Typical High $316.23 | Professional | None | $16.22 | $100.00 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $39.81 Typical High $83.18 | Professional | None | $14.13 | $39.81 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $33.88 Typical High $91.20 | Professional | None | $13.49 | $33.88 | $91.20 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $89.13 | Professional | None | $26.92 | $52.48 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $10.96 Median $66.07 Typical High $72.44 | Facility | None | $10.96 | $66.07 | $72.44 |
Premera BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Premera BCBS Setting Professional Modifier None Typical Low $15.49 Median $51.29 Typical High $51.29 | Professional | None | $15.49 | $51.29 | $51.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.22 Median $38.02 Typical High $83.18 | Professional | None | $16.22 | $38.02 | $83.18 |
United Setting Professional Modifier None Typical Low $14.79 Median $40.74 Typical High $91.20 | Professional | None | $14.79 | $40.74 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $10.72 Median $20.42 Typical High $83.18 | Professional | None | $10.72 | $20.42 | $83.18 |
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 $8.13 Median $16.98 Typical High $29.51 | Professional | 52 · Reduced service | $8.13 | $16.98 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $6.76 Typical High $12.02 | Professional | 53 · Discontinued | $3.24 | $6.76 | $12.02 |
Where Washington sits
The same service costs 2.5 times more in Kansas 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· 5th of 51
$50.12
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.