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 $34.67 Median $41.69 Typical High $46.77 | Facility | None | $34.67 | $41.69 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $45.71 | Professional | None | $29.51 | $40.74 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $30.90 Typical High $52.48 | Professional | None | $19.95 | $30.90 | $52.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.95 Median $45.71 Typical High $61.66 | Facility | None | $19.95 | $45.71 | $61.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $194.98 | Professional | None | $41.69 | $42.66 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $57.54 | Professional | None | $32.36 | $39.81 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $67.61 | Professional | None | $27.54 | $40.74 | $67.61 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $52.48 | Professional | None | $33.11 | $35.48 | $52.48 |
Pacific Source Setting Facility Modifier None Typical Low $36.31 Median $60.26 Typical High $61.66 | Facility | None | $36.31 | $60.26 | $61.66 |
Premera BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $45.71 | Facility | None | $41.69 | $41.69 | $45.71 |
Premera BCBS Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | None | $43.65 | $45.71 | $45.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $61.66 | Facility | None | $42.66 | $46.77 | $61.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $60.26 | Professional | None | $41.69 | $42.66 | $60.26 |
United Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $67.61 | Professional | None | $37.15 | $45.71 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $53.70 | Professional | None | $26.30 | $32.36 | $53.70 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $20.42 | $20.42 | $21.38 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $27.54 Median $27.54 Typical High $51.29 | Professional | 25 · Same-day visit | $27.54 | $27.54 | $51.29 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | SA · Nurse practitioner | $35.48 | $35.48 | $35.48 |
Where Washington sits
The same service costs 2.5 times more in Alaska than in New York. 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· 11th of 51
$42.66
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.