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 $23.99 Median $30.20 Typical High $112.20 | Facility | None | $23.99 | $30.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | None | $23.99 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $17.38 | Professional | None | $15.49 | $17.38 | $17.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.05 Median $31.62 Typical High $69.18 | Facility | None | $19.05 | $31.62 | $69.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $25.12 | Professional | None | $19.05 | $22.91 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $45.71 Typical High $64.57 | Facility | None | $26.30 | $45.71 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $36.31 | Professional | None | $15.85 | $26.92 | $36.31 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | None | $16.22 | $22.39 | $22.39 |
Pacific Source Setting Facility Modifier None Typical Low $25.12 Median $27.54 Typical High $51.29 | Facility | None | $25.12 | $27.54 | $51.29 |
Premera BCBS Setting Facility Modifier None Typical Low $25.12 Median $44.67 Typical High $69.18 | Facility | None | $25.12 | $44.67 | $69.18 |
Premera BCBS Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | None | $22.91 | $22.91 | $30.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $69.18 | Facility | None | $25.12 | $41.69 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $25.12 | Professional | None | $19.05 | $22.91 | $25.12 |
United Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $30.20 | Facility | None | $25.12 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $28.18 | Professional | None | $10.72 | $11.48 | $28.18 |
Wellpoint Setting Professional Modifier None Typical Low $11.48 Median $25.12 Typical High $45.71 | Professional | None | $11.48 | $25.12 | $45.71 |
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 $11.75 Median $11.75 Typical High $15.14 | Professional | 52 · Reduced service | $11.75 | $11.75 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.03 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.03 |
Where Washington sits
The same service costs 15.8 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· 28th of 51
$23.99
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.