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 $11.48 Median $11.48 Typical High $12.59 | Facility | None | $11.48 | $11.48 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $19.05 | Professional | None | $11.48 | $11.48 | $19.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.12 Median $17.78 Typical High $31.62 | Facility | None | $9.12 | $17.78 | $31.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $102.33 | Professional | None | $12.02 | $12.30 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | None | $13.18 | $14.13 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $31.62 | Professional | None | $13.80 | $21.38 | $31.62 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $7.76 Typical High $7.94 | Professional | None | $7.24 | $7.76 | $7.94 |
Pacific Source Setting Facility Modifier None Typical Low $14.13 Median $23.44 Typical High $24.55 | Facility | None | $14.13 | $23.44 | $24.55 |
Premera BCBS Setting Facility Modifier None Typical Low $14.79 Median $23.44 Typical High $32.36 | Facility | None | $14.79 | $23.44 | $32.36 |
Premera BCBS Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.22 Median $18.62 Typical High $31.62 | Facility | None | $16.22 | $18.62 | $31.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $13.80 | Professional | None | $12.02 | $12.02 | $13.80 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
United Setting Professional Modifier None Typical Low $11.75 Median $12.59 Typical High $33.11 | Professional | None | $11.75 | $12.59 | $33.11 |
Wellpoint Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $25.70 | Professional | None | $12.30 | $13.49 | $25.70 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $9.77 Median $9.77 Typical High $12.30 | Professional | GP · Physical therapy plan | $9.77 | $9.77 | $12.30 |
Where Washington sits
The same service costs 2.4 times more in Alaska than in Missouri. 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· 35th of 51
$12.02
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.