How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $34.67 Typical High $45.71 | Facility | None | $34.67 | $34.67 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $45.71 | Professional | None | $34.67 | $38.02 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | None | $42.66 | $42.66 | $57.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $52.48 | Facility | None | $19.95 | $19.95 | $52.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $251.19 | Professional | None | $41.69 | $53.70 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $69.18 | Professional | None | $33.88 | $44.67 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $79.43 | Professional | None | $28.18 | $43.65 | $79.43 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $162.18 | Professional | None | $53.70 | $91.20 | $162.18 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $77.62 Typical High $79.43 | Facility | None | $46.77 | $77.62 | $79.43 |
Premera BCBS Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $53.70 | Facility | None | $51.29 | $53.70 | $53.70 |
Premera BCBS Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $51.29 | Professional | None | $38.90 | $51.29 | $51.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $69.18 | Professional | None | $41.69 | $53.70 | $69.18 |
United Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $79.43 | Professional | None | $38.02 | $50.12 | $79.43 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $60.26 | Professional | None | $26.30 | $42.66 | $60.26 |
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 $17.38 Median $19.05 Typical High $22.91 | Professional | 52 · Reduced service | $17.38 | $19.05 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.59 Typical High $9.12 | Professional | 53 · Discontinued | $6.92 | $7.59 | $9.12 |
Where Washington sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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
$56.23
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.