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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | None | $21.38 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $21.88 Typical High $23.99 | Professional | None | $15.14 | $21.88 | $23.99 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.22 Median $371.54 Typical High $758.58 | Facility | None | $16.22 | $371.54 | $758.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $25.70 Median $53.70 Typical High $190.55 | Professional | None | $25.70 | $53.70 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $35.48 | Professional | None | $17.78 | $23.44 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $48.98 | Professional | None | $17.78 | $27.54 | $48.98 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $43.65 Typical High $74.13 | Professional | None | $26.92 | $43.65 | $74.13 |
Pacific Source Setting Facility Modifier None Typical Low $30.90 Median $33.11 Typical High $39.81 | Facility | None | $30.90 | $33.11 | $39.81 |
Premera BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $27.54 | Facility | None | $25.12 | $25.12 | $27.54 |
Premera BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $389.05 Typical High $724.44 | Facility | None | $295.12 | $389.05 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $39.81 | Professional | None | $25.70 | $25.70 | $39.81 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $44.67 | Professional | None | $19.05 | $26.92 | $44.67 |
Wellpoint Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $50.12 | Professional | None | $22.91 | $30.90 | $50.12 |
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 $12.30 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $12.30 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.01 | $5.37 | $5.37 |
Where Washington sits
The same service costs 2.3 times more in Minnesota 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· 6th of 51
$33.88
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.