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 $25.70 Median $25.70 Typical High $26.30 | Facility | None | $25.70 | $25.70 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $39.81 | Professional | None | $25.70 | $26.30 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $83.18 | Professional | None | $58.88 | $64.57 | $83.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $54.95 | Facility | None | $20.42 | $20.42 | $54.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $288.40 | Professional | None | $42.66 | $52.48 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $69.18 | Professional | None | $27.54 | $40.74 | $69.18 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $36.31 Typical High $79.43 | Professional | None | $20.89 | $36.31 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $64.57 | Facility | None | $63.10 | $63.10 | $64.57 |
Premera BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $44.67 | Facility | None | $43.65 | $43.65 | $44.67 |
Premera BCBS Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None | $42.66 | $44.67 | $44.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $64.57 | Professional | None | $42.66 | $44.67 | $64.57 |
United Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $70.79 | Professional | None | $38.02 | $45.71 | $70.79 |
Wellpoint Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $56.23 | Professional | None | $27.54 | $34.67 | $56.23 |
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 $12.88 Median $13.18 Typical High $15.49 | Professional | 52 · Reduced service | $12.88 | $13.18 | $15.49 |
Where Washington sits
The same service costs 3.1 times more in Alaska 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· 12th of 51
$42.66
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.