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 $3.24 Median $3.24 Typical High $10.47 | Facility | None | $3.24 | $3.24 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $4.79 | Professional | None | $3.24 | $3.24 | $4.79 |
Ambetter Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.57 Median $3.80 Typical High $9.33 | Facility | None | $2.57 | $3.80 | $9.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $3.47 | Professional | None | $2.57 | $3.09 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $6.31 Typical High $8.91 | Facility | None | $3.55 | $6.31 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $3.47 Typical High $5.01 | Professional | None | $2.19 | $3.47 | $5.01 |
Molina Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $3.02 | Professional | None | $2.19 | $3.02 | $3.02 |
Pacific Source Setting Facility Modifier None Typical Low $3.47 Median $4.07 Typical High $6.76 | Facility | None | $3.47 | $4.07 | $6.76 |
Premera BCBS Setting Facility Modifier None Typical Low $3.47 Median $6.03 Typical High $9.33 | Facility | None | $3.47 | $6.03 | $9.33 |
Premera BCBS Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $4.07 | Professional | None | $3.09 | $3.09 | $4.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.47 Median $5.62 Typical High $9.33 | Facility | None | $3.47 | $5.62 | $9.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $3.47 | Professional | None | $2.57 | $3.09 | $3.47 |
United Setting Facility Modifier None Typical Low $3.47 Median $4.07 Typical High $4.07 | Facility | None | $3.47 | $4.07 | $4.07 |
United Setting Professional Modifier None Typical Low $1.45 Median $1.55 Typical High $3.80 | Professional | None | $1.45 | $1.55 | $3.80 |
Wellpoint Setting Professional Modifier None Typical Low $1.55 Median $3.47 Typical High $6.17 | Professional | None | $1.55 | $3.47 | $6.17 |
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 $1.62 Median $1.62 Typical High $2.04 | Professional | 52 · Reduced service | $1.62 | $1.62 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.81 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.81 |
Where Washington sits
The same service costs 6.2 times more in Kansas 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· 33rd of 51
$3.24
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.