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 $12.88 Median $12.88 Typical High $63.10 | Facility | None | $12.88 | $12.88 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $19.05 | Professional | None | $12.88 | $12.88 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.47 Median $17.38 Typical High $38.02 | Facility | None | $10.47 | $17.38 | $38.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $13.80 | Professional | None | $10.47 | $12.59 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $44.67 | Facility | None | $14.45 | $25.12 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $14.45 Typical High $19.95 | Professional | None | $8.51 | $14.45 | $19.95 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $12.30 | Professional | None | $8.91 | $12.30 | $12.30 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $15.14 Typical High $28.18 | Facility | None | $13.80 | $15.14 | $28.18 |
Premera BCBS Setting Facility Modifier None Typical Low $13.80 Median $23.99 Typical High $38.02 | Facility | None | $13.80 | $23.99 | $38.02 |
Premera BCBS Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $16.60 | Professional | None | $12.59 | $12.59 | $16.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $38.02 | Facility | None | $13.80 | $22.91 | $38.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $13.80 | Professional | None | $10.47 | $12.59 | $13.80 |
United Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $16.60 | Facility | None | $13.80 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $5.75 Median $6.17 Typical High $15.49 | Professional | None | $5.75 | $6.17 | $15.49 |
Wellpoint Setting Professional Modifier None Typical Low $6.17 Median $13.80 Typical High $25.12 | Professional | None | $6.17 | $13.80 | $25.12 |
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 $6.46 Median $6.46 Typical High $8.32 | Professional | 52 · Reduced service | $6.46 | $6.46 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.31 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.31 |
Where Washington sits
The same service costs 28.8 times more in Vermont than in Alabama. 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· 35th of 51
$13.18
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.