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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | None | $25.70 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $18.62 Median $36.31 Typical High $52.48 | Facility | None | $18.62 | $36.31 | $52.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $33.11 Median $186.21 Typical High $204.17 | Professional | None | $33.11 | $186.21 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $30.20 Typical High $43.65 | Professional | None | $22.39 | $30.20 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $56.23 | Professional | None | $22.39 | $33.11 | $56.23 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $48.98 Typical High $85.11 | Professional | None | $15.14 | $48.98 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $47.86 | Facility | None | $30.20 | $47.86 | $47.86 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $46.77 Typical High $66.07 | Facility | None | $32.36 | $46.77 | $66.07 |
Premera BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $33.88 Median $36.31 Typical High $52.48 | Facility | None | $33.88 | $36.31 | $52.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $47.86 | Professional | None | $33.11 | $33.11 | $47.86 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $64.57 | Professional | None | $27.54 | $35.48 | $64.57 |
Wellpoint Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $51.29 | Professional | None | $25.12 | $33.88 | $51.29 |
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 $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Where Washington sits
The same service costs 2.6 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· 16th of 51
$34.67
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.