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 $17.38 Median $17.38 Typical High $81.28 | Facility | None | $17.38 | $17.38 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $28.84 | Professional | None | $17.38 | $21.38 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $37.15 | Professional | None | $10.96 | $12.88 | $37.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $50.12 | Facility | None | $13.80 | $22.91 | $50.12 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $18.20 | Professional | None | $13.80 | $16.60 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $33.11 Typical High $47.86 | Facility | None | $19.05 | $33.11 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $19.50 Typical High $26.30 | Professional | None | $11.48 | $19.50 | $26.30 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $16.22 | Professional | None | $11.75 | $16.22 | $16.22 |
Pacific Source Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $37.15 | Facility | None | $18.20 | $21.88 | $37.15 |
Premera BCBS Setting Facility Modifier None Typical Low $18.20 Median $32.36 Typical High $50.12 | Facility | None | $18.20 | $32.36 | $50.12 |
Premera BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | None | $16.60 | $16.60 | $21.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $18.20 Median $30.20 Typical High $50.12 | Facility | None | $18.20 | $30.20 | $50.12 |
Regence BlueShield Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $18.20 | Professional | None | $13.80 | $16.60 | $18.20 |
United Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $21.88 | Facility | None | $18.20 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $20.42 | Professional | None | $7.76 | $8.32 | $20.42 |
Wellpoint Setting Professional Modifier None Typical Low $8.32 Median $18.20 Typical High $33.11 | Professional | None | $8.32 | $18.20 | $33.11 |
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 $8.71 Median $8.71 Typical High $10.96 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.37 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.37 |
Where Washington sits
The same service costs 7.1 times more in Vermont than in Illinois. 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
$18.20
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.