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 $9.12 Median $11.22 Typical High $53.70 | Facility | None | $9.12 | $11.22 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $16.98 | Professional | None | $11.48 | $13.49 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $8.32 Typical High $22.91 | Professional | None | $7.41 | $8.32 | $22.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.12 Median $15.14 Typical High $33.11 | Facility | None | $9.12 | $15.14 | $33.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $12.02 | Professional | None | $9.12 | $10.96 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.88 Typical High $34.67 | Facility | None | $12.59 | $21.88 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $12.88 Typical High $17.38 | Professional | None | $7.41 | $12.88 | $17.38 |
Molina Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $10.72 | Professional | None | $7.76 | $10.72 | $10.72 |
Pacific Source Setting Facility Modifier None Typical Low $12.02 Median $14.45 Typical High $23.99 | Facility | None | $12.02 | $14.45 | $23.99 |
Premera BCBS Setting Facility Modifier None Typical Low $12.02 Median $21.38 Typical High $33.11 | Facility | None | $12.02 | $21.38 | $33.11 |
Premera BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $14.45 | Professional | None | $10.96 | $10.96 | $14.45 |
Regence BlueShield Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $33.11 | Facility | None | $12.02 | $19.95 | $33.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $12.02 | Professional | None | $9.12 | $10.96 | $12.02 |
United Setting Facility Modifier None Typical Low $12.02 Median $14.45 Typical High $14.45 | Facility | None | $12.02 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.50 Typical High $13.49 | Professional | None | $5.13 | $5.50 | $13.49 |
Wellpoint Setting Professional Modifier None Typical Low $5.50 Median $12.02 Typical High $21.88 | Professional | None | $5.50 | $12.02 | $21.88 |
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 $5.62 Median $5.62 Typical High $7.24 | Professional | 52 · Reduced service | $5.62 | $5.62 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.88 |
Where Washington sits
The same service costs 8.3 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
$11.75
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.