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 $6.76 Median $8.51 Typical High $34.67 | Facility | None | $6.76 | $8.51 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.47 Typical High $14.13 | Professional | None | $8.51 | $10.47 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $5.50 Typical High $18.20 | Professional | None | $5.37 | $5.50 | $18.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $6.76 Median $11.22 Typical High $24.55 | Facility | None | $6.76 | $11.22 | $24.55 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $9.12 | Professional | None | $6.76 | $8.13 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $16.22 Typical High $28.84 | Facility | None | $9.33 | $16.22 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $9.77 Typical High $12.88 | Professional | None | $5.62 | $9.77 | $12.88 |
Molina Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $7.94 | Professional | None | $5.75 | $7.94 | $7.94 |
Pacific Source Setting Facility Modifier None Typical Low $9.12 Median $10.00 Typical High $18.20 | Facility | None | $9.12 | $10.00 | $18.20 |
Premera BCBS Setting Facility Modifier None Typical Low $9.12 Median $15.85 Typical High $24.55 | Facility | None | $9.12 | $15.85 | $24.55 |
Premera BCBS Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $10.72 | Professional | None | $8.13 | $8.13 | $10.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $9.12 Median $14.79 Typical High $24.55 | Facility | None | $9.12 | $14.79 | $24.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $9.12 | Professional | None | $6.76 | $8.13 | $9.12 |
United Setting Facility Modifier None Typical Low $9.12 Median $10.72 Typical High $10.72 | Facility | None | $9.12 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $3.80 Median $4.07 Typical High $10.00 | Professional | None | $3.80 | $4.07 | $10.00 |
Wellpoint Setting Professional Modifier None Typical Low $4.07 Median $9.12 Typical High $16.22 | Professional | None | $4.07 | $9.12 | $16.22 |
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 $4.27 Median $4.27 Typical High $5.37 | Professional | 52 · Reduced service | $4.27 | $4.27 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $2.14 | Professional | 53 · Discontinued | $1.70 | $1.70 | $2.14 |
Where Washington sits
The same service costs 10.7 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· 31st of 51
$9.12
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.