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 $10.00 Median $10.00 Typical High $48.98 | Facility | None | $10.00 | $10.00 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $14.79 | Professional | None | $10.00 | $10.00 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $7.41 Typical High $7.41 | Professional | None | $6.61 | $7.41 | $7.41 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.13 Median $13.49 Typical High $29.51 | Facility | None | $8.13 | $13.49 | $29.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $10.72 | Professional | None | $8.13 | $9.77 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $19.50 Typical High $27.54 | Facility | None | $11.22 | $19.50 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $11.48 Typical High $15.49 | Professional | None | $6.76 | $11.48 | $15.49 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $9.55 | Professional | None | $6.92 | $9.55 | $9.55 |
Pacific Source Setting Facility Modifier None Typical Low $10.72 Median $11.75 Typical High $21.38 | Facility | None | $10.72 | $11.75 | $21.38 |
Premera BCBS Setting Facility Modifier None Typical Low $10.72 Median $18.62 Typical High $29.51 | Facility | None | $10.72 | $18.62 | $29.51 |
Premera BCBS Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $12.88 | Professional | None | $9.77 | $9.77 | $12.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $29.51 | Facility | None | $10.72 | $17.78 | $29.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $10.72 | Professional | None | $8.13 | $9.77 | $10.72 |
United Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $12.88 | Facility | None | $10.72 | $12.88 | $12.88 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.79 Typical High $12.02 | Professional | None | $4.47 | $4.79 | $12.02 |
Wellpoint Setting Professional Modifier None Typical Low $4.79 Median $10.72 Typical High $19.50 | Professional | None | $4.79 | $10.72 | $19.50 |
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 $5.01 Median $5.01 Typical High $6.46 | Professional | 52 · Reduced service | $5.01 | $5.01 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.57 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.57 |
Where Washington sits
The same service costs 13.8 times more in Vermont than in Utah. 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· 33rd of 51
$10.23
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.