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 $4.79 Median $4.79 Typical High $22.39 | Facility | None | $4.79 | $4.79 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $7.08 | Professional | None | $4.79 | $4.79 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.39 Typical High $10.00 | Professional | None | $3.09 | $3.39 | $10.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.80 Median $6.31 Typical High $13.80 | Facility | None | $3.80 | $6.31 | $13.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $5.01 | Professional | None | $3.80 | $4.57 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $8.71 Typical High $15.49 | Facility | None | $5.25 | $8.71 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $5.25 Typical High $7.24 | Professional | None | $3.09 | $5.25 | $7.24 |
Molina Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $4.47 | Professional | None | $3.24 | $4.47 | $4.47 |
Pacific Source Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $10.00 | Facility | None | $5.01 | $6.03 | $10.00 |
Premera BCBS Setting Facility Modifier None Typical Low $5.01 Median $8.91 Typical High $13.80 | Facility | None | $5.01 | $8.91 | $13.80 |
Premera BCBS Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $6.03 | Professional | None | $4.57 | $4.57 | $6.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $5.01 Median $8.32 Typical High $13.80 | Facility | None | $5.01 | $8.32 | $13.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $5.01 | Professional | None | $3.80 | $4.57 | $5.01 |
United Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $6.03 | Facility | None | $5.01 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.29 Typical High $5.62 | Professional | None | $2.14 | $2.29 | $5.62 |
Wellpoint Setting Professional Modifier None Typical Low $2.29 Median $5.01 Typical High $9.12 | Professional | None | $2.29 | $5.01 | $9.12 |
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 $2.40 Median $2.40 Typical High $2.88 | Professional | 52 · Reduced service | $2.40 | $2.40 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $1.15 | Professional | 53 · Discontinued | $0.95 | $0.95 | $1.15 |
Where Washington sits
The same service costs 9.3 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
$4.79
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.