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 $2.24 Median $2.51 Typical High $2.75 | Facility | None | $2.24 | $2.51 | $2.75 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.51 Typical High $2.95 | Professional | None | $2.24 | $2.51 | $2.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1.78 Median $83.18 Typical High $169.82 | Facility | None | $1.78 | $83.18 | $169.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.40 Median $2.75 Typical High $13.80 | Professional | None | $2.40 | $2.75 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $5.01 | Professional | None | $2.00 | $2.00 | $5.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.70 Median $2.24 Typical High $3.47 | Professional | None | $1.70 | $2.24 | $3.47 |
Molina Setting Professional Modifier None Typical Low $1.20 Median $1.48 Typical High $1.82 | Professional | None | $1.20 | $1.48 | $1.82 |
Pacific Source Setting Facility Modifier None Typical Low $2.29 Median $3.80 Typical High $4.37 | Facility | None | $2.29 | $3.80 | $4.37 |
Premera BCBS Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $3.24 | Facility | None | $2.69 | $2.69 | $3.24 |
Premera BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $165.96 | Facility | None | $57.54 | $87.10 | $165.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.40 Median $2.75 Typical High $4.47 | Professional | None | $2.40 | $2.75 | $4.47 |
United Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $173.78 | Facility | None | $85.11 | $112.20 | $173.78 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.55 Typical High $5.13 | Professional | None | $2.40 | $3.55 | $5.13 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $3.16 | Professional | None | $2.34 | $2.34 | $3.16 |
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 $1.26 Median $1.38 Typical High $1.38 | Professional | 52 · Reduced service | $1.26 | $1.38 | $1.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.50 Median $0.55 Typical High $0.55 | Professional | 53 · Discontinued | $0.50 | $0.55 | $0.55 |
Where Washington sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 9th of 51
$2.75
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.