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 $26.30 Median $29.51 Typical High $39.81 | Facility | None | $26.30 | $29.51 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | None | $26.30 | $26.30 | $29.51 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $128.82 | Facility | None | $12.88 | $12.88 | $128.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $186.21 | Professional | None | $28.18 | $43.65 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $51.29 | Professional | None | $21.38 | $25.12 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | None | $61.66 | $61.66 | $69.18 |
Pacific Source Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $43.65 | Facility | None | $30.20 | $41.69 | $43.65 |
Premera BCBS Setting Facility Modifier None Typical Low $29.51 Median $30.90 Typical High $30.90 | Facility | None | $29.51 | $30.90 | $30.90 |
Premera BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | None | $26.92 | $26.92 | $29.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $48.98 | Professional | None | $26.92 | $31.62 | $48.98 |
United Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $60.26 | Professional | None | $25.70 | $30.20 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $22.39 Median $25.70 Typical High $34.67 | Professional | None | $22.39 | $25.70 | $34.67 |
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 $13.18 Median $13.18 Typical High $14.79 | Professional | 52 · Reduced service | $13.18 | $13.18 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.89 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.89 |
Where Washington sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 16th of 51
$29.51
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.