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 $22.91 Median $229.09 Typical High $912.01 | Facility | None | $22.91 | $229.09 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $38.02 | Professional | None | $21.88 | $23.44 | $38.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.75 Median $131.83 Typical High $275.42 | Facility | None | $11.75 | $131.83 | $275.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $41.69 | Professional | None | $21.88 | $33.11 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $44.67 | Professional | None | $21.38 | $25.12 | $44.67 |
Pacific Source Setting Facility Modifier None Typical Low $14.13 Median $28.84 Typical High $36.31 | Facility | None | $14.13 | $28.84 | $36.31 |
Premera BCBS Setting Facility Modifier None Typical Low $20.89 Median $21.38 Typical High $21.38 | Facility | None | $20.89 | $21.38 | $21.38 |
Premera BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $104.71 Median $138.04 Typical High $263.03 | Facility | None | $104.71 | $138.04 | $263.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $41.69 | Professional | None | $21.88 | $33.11 | $41.69 |
United Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $281.84 | Facility | None | $138.04 | $181.97 | $281.84 |
United Setting Professional Modifier None Typical Low $19.50 Median $33.11 Typical High $45.71 | Professional | None | $19.50 | $33.11 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $35.48 | Professional | None | $21.88 | $22.91 | $35.48 |
1 more rate 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 Facility Modifier 59 · Distinct service Typical Low $186.21 Median $537.03 Typical High $912.01 | Facility | 59 · Distinct service | $186.21 | $537.03 | $912.01 |
Where Washington sits
The same service costs 8.5 times more in Vermont 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· 25th of 51
$30.20
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.