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 $27.54 Median $70.79 Typical High $125.89 | Facility | None | $27.54 | $70.79 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $45.71 | Professional | None | $27.54 | $34.67 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $58.88 | Professional | None | $17.78 | $18.20 | $58.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.39 Median $37.15 Typical High $81.28 | Facility | None | $22.39 | $37.15 | $81.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $29.51 | Professional | None | $22.39 | $26.92 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $53.70 Typical High $75.86 | Facility | None | $30.90 | $53.70 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $30.90 Typical High $42.66 | Professional | None | $18.62 | $30.90 | $42.66 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $26.30 | Professional | None | $19.05 | $26.30 | $26.30 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $60.26 | Facility | None | $29.51 | $35.48 | $60.26 |
Premera BCBS Setting Facility Modifier None Typical Low $29.51 Median $51.29 Typical High $81.28 | Facility | None | $29.51 | $51.29 | $81.28 |
Premera BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $35.48 | Professional | None | $26.92 | $26.92 | $35.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $81.28 | Facility | None | $29.51 | $48.98 | $81.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $29.51 | Professional | None | $22.39 | $26.92 | $29.51 |
United Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Facility | None | $29.51 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $33.11 | Professional | None | $12.30 | $13.18 | $33.11 |
Wellpoint Setting Professional Modifier None Typical Low $13.18 Median $29.51 Typical High $53.70 | Professional | None | $13.18 | $29.51 | $53.70 |
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 $13.80 Median $13.80 Typical High $17.78 | Professional | 52 · Reduced service | $13.80 | $13.80 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $7.08 | Professional | 53 · Discontinued | $5.62 | $5.62 | $7.08 |
Where Washington sits
The same service costs 6.8 times more in Vermont than in Alabama. 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· 34th of 51
$29.51
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.