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 $30.90 Median $33.88 Typical High $45.71 | Facility | None | $30.90 | $33.88 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $42.66 | Professional | None | $30.90 | $34.67 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $58.88 | Professional | None | $45.71 | $51.29 | $58.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $31.62 | Facility | None | $22.91 | $27.54 | $31.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $85.11 | Professional | None | $47.86 | $64.57 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $102.33 | Professional | None | $33.88 | $47.86 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $37.15 Typical High $58.88 | Professional | None | $24.55 | $37.15 | $58.88 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $54.95 Typical High $131.83 | Professional | None | $19.95 | $54.95 | $131.83 |
Pacific Source Setting Facility Modifier None Typical Low $53.70 Median $77.62 Typical High $93.33 | Facility | None | $53.70 | $77.62 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Premera BCBS Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $63.10 | Professional | None | $44.67 | $63.10 | $63.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $79.43 | Professional | None | $47.86 | $64.57 | $79.43 |
United Setting Professional Modifier None Typical Low $37.15 Median $54.95 Typical High $125.89 | Professional | None | $37.15 | $54.95 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $69.18 | Professional | None | $30.90 | $51.29 | $69.18 |
1 more rate 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 $15.49 Median $16.98 Typical High $20.89 | Professional | 52 · Reduced service | $15.49 | $16.98 | $20.89 |
Where Washington sits
The same service costs 3.5 times more in Alaska 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· 11th of 51
$47.86
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.