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 $19.95 Median $20.89 Typical High $64.57 | Facility | None | $19.95 | $20.89 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $29.51 | Professional | None | $16.98 | $19.95 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $13.18 | Professional | None | $11.48 | $12.88 | $13.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.85 Median $21.38 Typical High $48.98 | Facility | None | $15.85 | $21.38 | $48.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $20.89 | Professional | None | $15.85 | $19.05 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $30.90 Typical High $54.95 | Facility | None | $19.95 | $30.90 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $22.39 Typical High $29.51 | Professional | None | $10.72 | $22.39 | $29.51 |
Molina Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $18.62 | Professional | None | $13.49 | $18.62 | $18.62 |
Pacific Source Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $42.66 | Facility | None | $20.89 | $20.89 | $42.66 |
Premera BCBS Setting Facility Modifier None Typical Low $20.89 Median $37.15 Typical High $57.54 | Facility | None | $20.89 | $37.15 | $57.54 |
Premera BCBS Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $25.12 | Professional | None | $17.38 | $19.05 | $25.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.89 Median $31.62 Typical High $57.54 | Facility | None | $20.89 | $31.62 | $57.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $20.89 | Professional | None | $15.85 | $19.05 | $20.89 |
United Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $25.12 | Facility | None | $20.89 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $21.88 | Professional | None | $8.91 | $8.91 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $9.55 Median $20.89 Typical High $38.02 | Professional | None | $9.55 | $20.89 | $38.02 |
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 $10.00 Median $10.00 Typical High $10.23 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.07 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.07 |
Where Washington sits
The same service costs 6.6 times more in Vermont 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· 27th of 51
$19.95
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.