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 $14.13 Median $14.13 Typical High $21.38 | Facility | None | $14.13 | $14.13 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $14.13 Typical High $25.70 | Professional | None | $5.01 | $14.13 | $25.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $48.98 | Facility | None | $13.80 | $20.42 | $48.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $18.62 | Professional | None | $13.80 | $16.60 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $23.44 Typical High $40.74 | Facility | None | $5.50 | $23.44 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $8.91 Typical High $8.91 | Professional | None | $5.25 | $8.91 | $8.91 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $16.22 | Professional | None | $11.75 | $15.85 | $16.22 |
Pacific Source Setting Facility Modifier None Typical Low $17.78 Median $18.20 Typical High $18.20 | Facility | None | $17.78 | $18.20 | $18.20 |
Premera BCBS Setting Facility Modifier None Typical Low $15.85 Median $30.20 Typical High $48.98 | Facility | None | $15.85 | $30.20 | $48.98 |
Premera BCBS Setting Professional Modifier None Typical Low $14.45 Median $15.85 Typical High $19.95 | Professional | None | $14.45 | $15.85 | $19.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $17.78 Median $26.92 Typical High $48.98 | Facility | None | $17.78 | $26.92 | $48.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $18.62 | Professional | None | $13.80 | $16.22 | $18.62 |
United Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $22.39 | Facility | None | $18.62 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $3.63 Median $9.12 Typical High $18.20 | Professional | None | $3.63 | $9.12 | $18.20 |
Wellpoint Setting Professional Modifier None Typical Low $8.32 Median $18.62 Typical High $33.11 | Professional | None | $8.32 | $18.62 | $33.11 |
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 $7.08 Median $7.08 Typical High $7.41 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.95 |
Where Washington sits
The same service costs 4.8 times more in Montana 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· 16th of 51
$15.85
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.