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 $20.89 Median $20.89 Typical High $100.00 | Facility | None | $20.89 | $20.89 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | None | $20.89 | $20.89 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.60 Median $27.54 Typical High $60.26 | Facility | None | $16.60 | $27.54 | $60.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $21.88 | Professional | None | $16.60 | $19.95 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $39.81 Typical High $56.23 | Facility | None | $15.49 | $39.81 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $23.44 Typical High $31.62 | Professional | None | $13.80 | $23.44 | $31.62 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $19.50 | Professional | None | $14.13 | $19.50 | $19.50 |
Pacific Source Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $44.67 | Facility | None | $21.88 | $26.30 | $44.67 |
Pacific Source Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Premera BCBS Setting Facility Modifier None Typical Low $21.88 Median $38.90 Typical High $60.26 | Facility | None | $21.88 | $38.90 | $60.26 |
Premera BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $26.30 | Professional | None | $19.95 | $19.95 | $26.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $21.88 Median $36.31 Typical High $60.26 | Facility | None | $21.88 | $36.31 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $21.88 | Professional | None | $16.60 | $19.95 | $21.88 |
United Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $26.30 | Facility | None | $21.88 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $24.55 | Professional | None | $9.33 | $10.00 | $24.55 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $21.88 Typical High $39.81 | Professional | None | $10.00 | $21.88 | $39.81 |
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 $10.23 Median $10.23 Typical High $13.18 | Professional | 52 · Reduced service | $10.23 | $10.23 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $5.25 | Professional | 53 · Discontinued | $4.17 | $4.17 | $5.25 |
Where Washington sits
The same service costs 13.5 times more in Vermont than in Maryland. 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
$20.89
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.