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 $20.42 Median $20.42 Typical High $91.20 | Facility | None | $20.42 | $20.42 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $30.90 | Professional | None | $20.42 | $20.42 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.22 Median $26.92 Typical High $60.26 | Facility | None | $16.22 | $26.92 | $60.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $21.88 | Professional | None | $16.22 | $19.50 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $39.81 Typical High $56.23 | Facility | None | $22.39 | $39.81 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $22.91 Typical High $30.90 | Professional | None | $13.80 | $22.91 | $30.90 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $19.05 | Professional | None | $13.80 | $19.05 | $19.05 |
Pacific Source Setting Facility Modifier None Typical Low $21.88 Median $22.91 Typical High $43.65 | Facility | None | $21.88 | $22.91 | $43.65 |
Premera BCBS Setting Facility Modifier None Typical Low $21.88 Median $38.02 Typical High $60.26 | Facility | None | $21.88 | $38.02 | $60.26 |
Premera BCBS Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | None | $19.50 | $19.50 | $26.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $60.26 | Facility | None | $21.88 | $35.48 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $21.88 | Professional | None | $16.22 | $19.50 | $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 $9.12 Median $9.77 Typical High $24.55 | Professional | None | $9.12 | $9.77 | $24.55 |
Wellpoint Setting Professional Modifier None Typical Low $9.77 Median $21.88 Typical High $38.90 | Professional | None | $9.77 | $21.88 | $38.90 |
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 $12.88 | Professional | 52 · Reduced service | $10.23 | $10.23 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $5.25 | Professional | 53 · Discontinued | $4.07 | $4.07 | $5.25 |
Where Washington sits
The same service costs 4.8 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· 32nd of 51
$20.42
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.