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 $13.18 Median $13.49 Typical High $36.31 | Facility | None | $13.18 | $13.49 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $19.95 | Professional | None | $13.18 | $13.18 | $19.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.47 Median $17.78 Typical High $38.90 | Facility | None | $10.47 | $17.78 | $38.90 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $14.13 | Professional | None | $10.47 | $12.59 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $25.70 Typical High $45.71 | Facility | None | $14.79 | $25.70 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $14.79 Typical High $20.42 | Professional | None | $8.71 | $14.79 | $20.42 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $12.30 | Professional | None | $9.12 | $12.30 | $12.30 |
Pacific Source Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $28.18 | Facility | None | $14.13 | $16.98 | $28.18 |
Premera BCBS Setting Facility Modifier None Typical Low $14.13 Median $24.55 Typical High $38.90 | Facility | None | $14.13 | $24.55 | $38.90 |
Premera BCBS Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | None | $12.59 | $12.59 | $16.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $14.13 Median $23.44 Typical High $38.90 | Facility | None | $14.13 | $23.44 | $38.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $14.13 | Professional | None | $10.47 | $12.59 | $14.13 |
United Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $16.98 | Facility | None | $14.13 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.31 Typical High $15.85 | Professional | None | $5.89 | $6.31 | $15.85 |
Wellpoint Setting Professional Modifier None Typical Low $6.31 Median $14.13 Typical High $25.70 | Professional | None | $6.31 | $14.13 | $25.70 |
3 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 $6.61 Median $6.61 Typical High $8.51 | Professional | 52 · Reduced service | $6.61 | $6.61 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $3.39 | Professional | 53 · Discontinued | $2.63 | $2.63 | $3.39 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 90 · Outside lab | $9.77 | $9.77 | $9.77 |
Where Washington sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 32nd of 51
$13.80
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.