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 $15.49 Median $72.44 Typical High $288.40 | Facility | None | $15.49 | $72.44 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $40.74 Typical High $75.86 | Professional | None | $13.18 | $40.74 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $53.70 | Professional | None | $10.23 | $20.42 | $53.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $10.00 | Facility | None | $8.32 | $8.32 | $10.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $15.14 Median $69.18 Typical High $446.68 | Professional | None | $15.14 | $69.18 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $46.77 Typical High $97.72 | Professional | None | $14.79 | $46.77 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $40.74 Typical High $114.82 | Professional | None | $13.49 | $40.74 | $114.82 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $48.98 Typical High $89.13 | Professional | None | $12.59 | $48.98 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $97.72 | Facility | None | $54.95 | $83.18 | $97.72 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Premera BCBS Setting Professional Modifier None Typical Low $16.60 Median $48.98 Typical High $69.18 | Professional | None | $16.60 | $48.98 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.45 Median $45.71 Typical High $104.71 | Professional | None | $14.45 | $45.71 | $104.71 |
United Setting Professional Modifier None Typical Low $16.98 Median $44.67 Typical High $112.20 | Professional | None | $16.98 | $44.67 | $112.20 |
Wellpoint Setting Professional Modifier None Typical Low $10.96 Median $45.71 Typical High $75.86 | Professional | None | $10.96 | $45.71 | $75.86 |
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 53 · Discontinued Typical Low $3.09 Median $7.76 Typical High $14.45 | Professional | 53 · Discontinued | $3.09 | $7.76 | $14.45 |
Ambetter Setting Professional Modifier GA · Liability notice issued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | GA · Liability notice issued | $50.12 | $50.12 | $50.12 |
Where Washington sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 15th of 51
$50.12
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.