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 $33.11 Median $33.11 Typical High $54.95 | Facility | None | $33.11 | $33.11 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $41.69 | Professional | None | $22.91 | $33.11 | $41.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $17.78 Median $107.15 Typical High $223.87 | Facility | None | $17.78 | $107.15 | $223.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $33.11 Median $154.88 Typical High $208.93 | Professional | None | $33.11 | $154.88 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $63.10 | Professional | None | $20.89 | $24.55 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $70.79 | Professional | None | $27.54 | $50.12 | $70.79 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $52.48 Typical High $85.11 | Professional | None | $10.00 | $52.48 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $48.98 | Facility | None | $25.12 | $41.69 | $48.98 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $34.67 | Facility | None | $32.36 | $32.36 | $34.67 |
Premera BCBS Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $223.87 | Facility | None | $89.13 | $117.49 | $223.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $60.26 | Professional | None | $30.90 | $33.11 | $60.26 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $77.62 | Professional | None | $26.30 | $30.90 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $54.95 | Professional | None | $25.12 | $33.88 | $54.95 |
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 $16.60 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Where Washington sits
The same service costs 2.8 times more in Alaska 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· 5th of 51
$45.71
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.