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 $35.48 Median $35.48 Typical High $57.54 | Facility | None | $35.48 | $35.48 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $58.88 | Professional | None | $32.36 | $35.48 | $58.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $23.99 Median $32.36 Typical High $38.02 | Facility | None | $23.99 | $32.36 | $38.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $64.57 | Facility | None | $42.66 | $42.66 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Pacific Source Setting Facility Modifier None Typical Low $23.99 Median $30.20 Typical High $42.66 | Facility | None | $23.99 | $30.20 | $42.66 |
Premera BCBS Setting Facility Modifier None Typical Low $21.88 Median $27.54 Typical High $61.66 | Facility | None | $21.88 | $27.54 | $61.66 |
Premera BCBS Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $23.99 Median $28.84 Typical High $38.02 | Facility | None | $23.99 | $28.84 | $38.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Wellpoint Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | None | $31.62 | $31.62 | $42.66 |
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 JZ · No drug discarded Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | JZ · No drug discarded | $48.98 | $48.98 | $48.98 |
Where Washington sits
The same service costs 4.6 times more in Alabama than in Oklahoma. 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· 27th of 51
$32.36
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.