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 $30.20 Median $54.95 Typical High $81.28 | Facility | None | $30.20 | $54.95 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $64.57 | Professional | None | $30.20 | $54.95 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $85.11 | Professional | None | $40.74 | $44.67 | $85.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.22 Median $338.84 Typical High $741.31 | Facility | None | $16.22 | $338.84 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $32.36 Median $52.48 Typical High $83.18 | Professional | None | $32.36 | $52.48 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $52.48 | Professional | None | $34.67 | $47.86 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $37.15 Typical High $66.07 | Professional | None | $20.42 | $37.15 | $66.07 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $27.54 Typical High $109.65 | Professional | None | $13.18 | $27.54 | $109.65 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $89.13 | Facility | None | $52.48 | $83.18 | $89.13 |
Premera BCBS Setting Facility Modifier None Typical Low $57.54 Median $58.88 Typical High $58.88 | Facility | None | $57.54 | $58.88 | $58.88 |
Premera BCBS Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $57.54 | Professional | None | $31.62 | $57.54 | $57.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $707.95 | Facility | None | $239.88 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $60.26 | Professional | None | $32.36 | $45.71 | $60.26 |
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 $34.67 Median $61.66 Typical High $89.13 | Professional | None | $34.67 | $61.66 | $89.13 |
Wellpoint Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $50.12 | Professional | None | $21.38 | $42.66 | $50.12 |
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 $14.79 Median $16.98 Typical High $30.90 | Professional | 52 · Reduced service | $14.79 | $16.98 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $12.30 | Professional | 53 · Discontinued | $6.03 | $6.76 | $12.30 |
Where Washington sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 8th of 51
$47.86
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.