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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | None | $17.78 | $19.05 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $20.89 | Professional | None | $18.20 | $18.20 | $20.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.50 Median $83.18 Typical High $165.96 | Facility | None | $19.50 | $83.18 | $165.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $134.90 | Professional | None | $29.51 | $29.51 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $54.95 | Professional | None | $19.05 | $26.92 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $19.50 Typical High $35.48 | Professional | None | $5.62 | $19.50 | $35.48 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | None | $18.20 | $18.20 | $19.95 |
Pacific Source Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $45.71 | Facility | None | $27.54 | $45.71 | $45.71 |
Premera BCBS Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Premera BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $158.49 | Facility | None | $64.57 | $85.11 | $158.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
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 $42.66 Median $52.48 Typical High $93.33 | Professional | None | $42.66 | $52.48 | $93.33 |
Wellpoint Setting Professional Modifier None Typical Low $7.76 Median $17.38 Typical High $28.84 | Professional | None | $7.76 | $17.38 | $28.84 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | HN · Bachelor's level | $14.79 | $14.79 | $16.60 |
United Setting Professional Modifier HO · Master's level Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | HO · Master's level | $17.38 | $17.38 | $19.50 |
United Setting Professional Modifier HP · Doctoral level Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | HP · Doctoral level | $17.38 | $17.38 | $19.50 |
Where Washington sits
The same service costs 4.7 times more in Wyoming than in Alabama. 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· 13th 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.