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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | None | $63.10 | $63.10 | $69.18 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $42.66 | Facility | None | $35.48 | $35.48 | $42.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $977.24 | Professional | None | $61.66 | $61.66 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | None | $47.86 | $47.86 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $114.82 | Professional | None | $47.86 | $69.18 | $114.82 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $46.77 Typical High $85.11 | Professional | None | $24.55 | $46.77 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $36.31 Median $81.28 Typical High $91.20 | Facility | None | $36.31 | $81.28 | $91.20 |
Premera BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $63.10 | Facility | None | $61.66 | $61.66 | $63.10 |
Premera BCBS Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | None | $61.66 | $61.66 | $93.33 |
United Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $141.25 | Professional | None | $54.95 | $67.61 | $141.25 |
Wellpoint Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $107.15 | Professional | None | $48.98 | $67.61 | $107.15 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Where Washington sits
The same service costs 3.5 times more in Minnesota than in Utah. 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· 28th of 51
$61.66
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.