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 $20.89 Median $21.88 Typical High $23.99 | Facility | None | $20.89 | $21.88 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $30.90 | Professional | None | $20.89 | $22.91 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $54.95 | Professional | None | $36.31 | $46.77 | $54.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.98 Median $239.88 Typical High $489.78 | Facility | None | $16.98 | $239.88 | $489.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $239.88 | Professional | None | $35.48 | $44.67 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $67.61 | Professional | None | $23.44 | $37.15 | $67.61 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $77.62 | Professional | None | $28.84 | $44.67 | $77.62 |
Pacific Source Setting Facility Modifier None Typical Low $33.11 Median $56.23 Typical High $58.88 | Facility | None | $33.11 | $56.23 | $58.88 |
Premera BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Premera BCBS Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Professional | None | $34.67 | $38.02 | $38.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $489.78 | Facility | None | $199.53 | $263.03 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $54.95 | Professional | None | $35.48 | $38.90 | $54.95 |
United Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $602.56 | Facility | None | $302.00 | $398.11 | $602.56 |
United Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $58.88 | Professional | None | $31.62 | $38.02 | $58.88 |
Wellpoint Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $45.71 | Professional | None | $22.39 | $29.51 | $45.71 |
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 $10.47 Median $11.48 Typical High $12.88 | Professional | 52 · Reduced service | $10.47 | $11.48 | $12.88 |
Where Washington sits
The same service costs 3.0 times more in North Carolina 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· 9th of 51
$38.02
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.