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 $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $10.47 | Professional | None | $5.62 | $5.62 | $10.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.47 Median $8.71 Typical High $16.22 | Facility | None | $4.47 | $8.71 | $16.22 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.89 Median $6.31 Typical High $57.54 | Professional | None | $5.89 | $6.31 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $7.76 Typical High $7.76 | Professional | None | $6.31 | $7.76 | $7.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.08 Median $11.48 Typical High $17.38 | Professional | None | $7.08 | $11.48 | $17.38 |
Molina Setting Professional Modifier None Typical Low $3.72 Median $3.98 Typical High $4.07 | Professional | None | $3.72 | $3.98 | $4.07 |
Pacific Source Setting Facility Modifier None Typical Low $6.03 Median $11.48 Typical High $17.78 | Facility | None | $6.03 | $11.48 | $17.78 |
Premera BCBS Setting Facility Modifier None Typical Low $7.76 Median $11.22 Typical High $15.49 | Facility | None | $7.76 | $11.22 | $15.49 |
Premera BCBS Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Regence BlueShield Setting Facility Modifier None Typical Low $7.94 Median $9.12 Typical High $16.98 | Facility | None | $7.94 | $9.12 | $16.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.76 | Professional | None | $5.89 | $5.89 | $6.76 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
United Setting Professional Modifier None Typical Low $6.03 Median $6.17 Typical High $16.22 | Professional | None | $6.03 | $6.17 | $16.22 |
Wellpoint Setting Professional Modifier None Typical Low $6.17 Median $6.92 Typical High $13.18 | Professional | None | $6.17 | $6.92 | $13.18 |
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 $6.17 Median $6.17 Typical High $6.17 | Professional | GP · Physical therapy plan | $6.17 | $6.17 | $6.17 |
Where Washington sits
The same service costs 2.6 times more in North Dakota 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· 36th of 51
$5.89
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.