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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $6.03 | Facility | None | $5.01 | $5.01 | $6.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.72 Median $21.88 Typical High $177.83 | Professional | None | $10.72 | $21.88 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $12.59 | Professional | None | $7.24 | $7.24 | $12.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.32 Median $7.24 Typical High $11.48 | Professional | None | $0.32 | $7.24 | $11.48 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $1.32 Median $13.18 Typical High $17.38 | Facility | None | $1.32 | $13.18 | $17.38 |
Pacific Source Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $13.80 | Professional | None | $1.32 | $1.32 | $13.80 |
Premera BCBS Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Premera BCBS Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $15.49 | Professional | None | $10.72 | $10.72 | $15.49 |
United Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $23.44 | Professional | None | $9.55 | $11.48 | $23.44 |
Wellpoint Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $16.60 | Professional | None | $6.76 | $9.12 | $16.60 |
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 $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Where Washington sits
The same service costs 2.6 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· 25th of 51
$10.72
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.