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 $23.99 Median $23.99 Typical High $24.55 | Facility | None | $23.99 | $23.99 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $43.65 | Professional | None | $21.38 | $24.55 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $41.69 | Professional | None | $31.62 | $37.15 | $41.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.02 Median $354.81 Typical High $741.31 | Facility | None | $12.02 | $354.81 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $371.54 | Professional | None | $25.70 | $25.70 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $45.71 Typical High $83.18 | Professional | None | $26.30 | $45.71 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $41.69 Typical High $97.72 | Professional | None | $20.42 | $41.69 | $97.72 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $14.79 | Professional | None | $9.55 | $12.02 | $14.79 |
Pacific Source Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $60.26 | Facility | None | $36.31 | $36.31 | $60.26 |
Premera BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.70 | Facility | None | $25.12 | $25.12 | $25.70 |
Premera BCBS Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $25.70 | Professional | None | $24.55 | $25.12 | $25.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $707.95 | Facility | None | $245.47 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $44.67 | Professional | None | $25.70 | $25.70 | $44.67 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $67.61 | Professional | None | $23.44 | $35.48 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $32.36 | Professional | None | $16.22 | $21.88 | $32.36 |
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 $11.75 Median $12.02 Typical High $12.30 | Professional | 52 · Reduced service | $11.75 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.79 Typical High $4.90 | Professional | 53 · Discontinued | $4.68 | $4.79 | $4.90 |
Where Washington sits
The same service costs 2.7 times more in Alaska 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· 22nd of 51
$25.70
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.