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 $218.78 Median $707.95 Typical High $707.95 | Facility | None | $218.78 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $223.87 | Professional | None | $102.33 | $114.82 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $426.58 | Facility | None | $117.49 | $173.78 | $426.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $154.88 | Professional | None | $117.49 | $141.25 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $229.09 Typical High $407.38 | Facility | None | $61.66 | $229.09 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $89.13 | Professional | None | $64.57 | $81.28 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $316.23 | Facility | None | $154.88 | $186.21 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $154.88 Median $275.42 Typical High $467.74 | Facility | None | $154.88 | $275.42 | $467.74 |
Premera BCBS Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $186.21 | Professional | None | $123.03 | $141.25 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $154.88 Median $234.42 Typical High $426.58 | Facility | None | $154.88 | $234.42 | $426.58 |
Regence BlueShield Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $154.88 | Professional | None | $117.49 | $141.25 | $154.88 |
United Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $186.21 | Facility | None | $154.88 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $154.88 | Professional | None | $51.29 | $66.07 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $154.88 Typical High $281.84 | Professional | None | $70.79 | $154.88 | $281.84 |
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 $74.13 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.20 |
Where Washington sits
The same service costs 5.4 times more in Wyoming than in Georgia. 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· 20th of 51
$141
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.