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 $4.68 Median $4.68 Typical High $6.92 | Facility | None | $4.68 | $4.68 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $5.89 | Professional | None | $4.68 | $4.68 | $5.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.72 Median $5.50 Typical High $13.49 | Facility | None | $3.72 | $5.50 | $13.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.72 Median $4.47 Typical High $4.90 | Professional | None | $3.72 | $4.47 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.61 | Professional | None | $5.25 | $5.25 | $6.61 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | None | $44.67 | $44.67 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $5.25 | Facility | None | $4.90 | $4.90 | $5.25 |
Premera BCBS Setting Facility Modifier None Typical Low $4.90 Median $8.71 Typical High $14.79 | Facility | None | $4.90 | $8.71 | $14.79 |
Premera BCBS Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.89 | Professional | None | $4.47 | $4.47 | $5.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.90 Median $8.13 Typical High $13.49 | Facility | None | $4.90 | $8.13 | $13.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.72 Median $4.47 Typical High $4.90 | Professional | None | $3.72 | $4.47 | $4.90 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $4.90 | Professional | None | $2.09 | $2.09 | $4.90 |
Wellpoint Setting Professional Modifier None Typical Low $2.24 Median $4.90 Typical High $8.91 | Professional | None | $2.24 | $4.90 | $8.91 |
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 $2.34 Median $2.34 Typical High $2.95 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $1.20 | Professional | 53 · Discontinued | $0.93 | $0.93 | $1.20 |
Where Washington sits
The same service costs 6.2 times more in Alabama 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· 28th of 51
$4.68
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.