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 $2.88 Median $3.80 Typical High $18.20 | Facility | None | $2.88 | $3.80 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $6.17 | Professional | None | $3.72 | $4.68 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $2.45 Median $2.75 Typical High $2.75 | Professional | None | $2.45 | $2.75 | $2.75 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.02 Median $5.01 Typical High $10.96 | Facility | None | $3.02 | $5.01 | $10.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.02 Median $3.63 Typical High $3.98 | Professional | None | $3.02 | $3.63 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $7.24 Typical High $12.88 | Facility | None | $4.17 | $7.24 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $4.17 Typical High $5.62 | Professional | None | $2.51 | $4.17 | $5.62 |
Molina Setting Professional Modifier None Typical Low $2.57 Median $3.55 Typical High $3.55 | Professional | None | $2.57 | $3.55 | $3.55 |
Pacific Source Setting Facility Modifier None Typical Low $3.98 Median $4.37 Typical High $7.94 | Facility | None | $3.98 | $4.37 | $7.94 |
Premera BCBS Setting Facility Modifier None Typical Low $3.98 Median $6.92 Typical High $10.96 | Facility | None | $3.98 | $6.92 | $10.96 |
Premera BCBS Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.79 | Professional | None | $3.63 | $3.63 | $4.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.98 Median $6.61 Typical High $10.96 | Facility | None | $3.98 | $6.61 | $10.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.02 Median $3.63 Typical High $3.98 | Professional | None | $3.02 | $3.63 | $3.98 |
United Setting Facility Modifier None Typical Low $3.98 Median $4.79 Typical High $4.79 | Facility | None | $3.98 | $4.79 | $4.79 |
United Setting Professional Modifier None Typical Low $1.70 Median $1.82 Typical High $4.47 | Professional | None | $1.70 | $1.82 | $4.47 |
Wellpoint Setting Professional Modifier None Typical Low $1.82 Median $3.98 Typical High $7.24 | Professional | None | $1.82 | $3.98 | $7.24 |
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 $1.86 Median $1.86 Typical High $2.40 | Professional | 52 · Reduced service | $1.86 | $1.86 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.95 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.95 |
Where Washington sits
The same service costs 13.8 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· 33rd of 51
$3.98
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.