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 Professional Modifier None Typical Low $4.27 Median $6.76 Typical High $30.20 | Professional | None | $4.27 | $6.76 | $30.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.51 Median $12.59 Typical High $29.51 | Facility | None | $8.51 | $12.59 | $29.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $11.22 | Professional | None | $8.51 | $10.23 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $15.85 Typical High $27.54 | Facility | None | $7.41 | $15.85 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Pacific Source Setting Facility Modifier None Typical Low $10.72 Median $11.75 Typical High $21.88 | Facility | None | $10.72 | $11.75 | $21.88 |
Premera BCBS Setting Facility Modifier None Typical Low $9.33 Median $17.38 Typical High $29.51 | Facility | None | $9.33 | $17.38 | $29.51 |
Premera BCBS Setting Professional Modifier None Typical Low $8.32 Median $9.77 Typical High $10.72 | Professional | None | $8.32 | $9.77 | $10.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $29.51 | Facility | None | $10.72 | $16.22 | $29.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $11.22 | Professional | None | $8.51 | $10.00 | $11.22 |
United Setting Facility Modifier None Typical Low $11.22 Median $13.49 Typical High $13.49 | Facility | None | $11.22 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.47 Typical High $10.72 | Professional | None | $2.09 | $4.47 | $10.72 |
Wellpoint Setting Professional Modifier None Typical Low $5.13 Median $11.22 Typical High $20.42 | Professional | None | $5.13 | $11.22 | $20.42 |
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 Facility Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.93 | Facility | 53 · Discontinued | $0.93 | $0.93 | $0.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $2.45 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.98 | Professional | 53 · Discontinued | $0.93 | $0.93 | $0.98 |
Where Washington sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 12th of 51
$9.77
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.