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 $10.72 Median $10.96 Typical High $46.77 | Facility | None | $10.72 | $10.96 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $15.85 | Professional | None | $10.72 | $10.72 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $7.94 Typical High $7.94 | Professional | None | $6.92 | $7.94 | $7.94 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.51 Median $14.13 Typical High $31.62 | Facility | None | $8.51 | $14.13 | $31.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $11.48 | Professional | None | $8.51 | $10.23 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $20.89 Typical High $29.51 | Facility | None | $11.75 | $20.89 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $16.60 | Professional | None | $7.08 | $12.02 | $16.60 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $10.00 | Professional | None | $7.24 | $10.00 | $10.00 |
Pacific Source Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $22.91 | Facility | None | $11.48 | $13.80 | $22.91 |
Premera BCBS Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $31.62 | Facility | None | $11.48 | $19.95 | $31.62 |
Premera BCBS Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $13.80 | Professional | None | $10.23 | $10.23 | $13.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $11.48 Median $18.62 Typical High $31.62 | Facility | None | $11.48 | $18.62 | $31.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $11.48 | Professional | None | $8.51 | $10.23 | $11.48 |
United Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $13.80 | Facility | None | $11.48 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $4.79 Median $5.13 Typical High $12.88 | Professional | None | $4.79 | $5.13 | $12.88 |
Wellpoint Setting Professional Modifier None Typical Low $5.13 Median $11.48 Typical High $20.42 | Professional | None | $5.13 | $11.48 | $20.42 |
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 $5.37 Median $5.37 Typical High $6.76 | Professional | 52 · Reduced service | $5.37 | $5.37 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.69 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.69 |
Where Washington sits
The same service costs 15.1 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
$10.72
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.