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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | None | $61.66 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $38.90 Median $109.65 Typical High $218.78 | Facility | None | $38.90 | $109.65 | $218.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $74.13 Median $125.89 Typical High $457.09 | Professional | None | $74.13 | $125.89 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $97.72 | Professional | None | $51.29 | $64.57 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $75.86 Typical High $128.82 | Professional | None | $50.12 | $75.86 | $128.82 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $147.91 | Professional | None | $53.70 | $91.20 | $147.91 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $87.10 | Facility | None | $52.48 | $87.10 | $87.10 |
Premera BCBS Setting Facility Modifier None Typical Low $64.57 Median $72.44 Typical High $72.44 | Facility | None | $64.57 | $72.44 | $72.44 |
Premera BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $208.93 | Facility | None | $85.11 | $109.65 | $208.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | None | $74.13 | $74.13 | $100.00 |
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 $61.66 Median $79.43 Typical High $131.83 | Professional | None | $61.66 | $79.43 | $131.83 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $120.23 | Professional | None | $54.95 | $74.13 | $120.23 |
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 $36.31 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.45 | $15.49 | $15.49 |
Where Washington sits
The same service costs 2.6 times more in Nebraska 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· 10th of 51
$77.62
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.