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 $19.05 Median $19.05 Typical High $21.38 | Facility | None | $19.05 | $19.05 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $30.90 | Professional | None | $19.05 | $21.38 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $10.72 Typical High $14.45 | Professional | 52 · Reduced service | $9.55 | $10.72 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $72.44 Typical High $72.44 | Professional | None | $27.54 | $72.44 | $72.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.95 Median $251.19 Typical High $512.86 | Facility | None | $19.95 | $251.19 | $512.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $43.65 | Professional | None | $31.62 | $35.48 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None | $27.54 | $27.54 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $35.48 | Professional | None | $19.95 | $26.92 | $35.48 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $52.48 | Professional | None | $33.11 | $33.88 | $52.48 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $41.69 Typical High $52.48 | Facility | None | $29.51 | $41.69 | $52.48 |
Premera BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Premera BCBS Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $34.67 | Professional | None | $30.90 | $34.67 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $489.78 | Facility | None | $173.78 | $263.03 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $40.74 | Professional | None | $31.62 | $35.48 | $40.74 |
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 $25.70 Median $36.31 Typical High $83.18 | Professional | None | $25.70 | $36.31 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $39.81 | Professional | None | $26.30 | $34.67 | $39.81 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $32.36 Median $48.98 Typical High $64.57 | Professional | 59 · Distinct service | $32.36 | $48.98 | $64.57 |
Where Washington sits
The same service costs 2.7 times more in North Dakota 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· 14th of 51
$33.11
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.