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 $5.37 Median $5.37 Typical High $23.44 | Facility | None | $5.37 | $5.37 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.62 Typical High $8.51 | Professional | None | $5.37 | $5.62 | $8.51 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $10.72 Typical High $11.22 | Professional | None | $3.47 | $10.72 | $11.22 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.27 Median $7.08 Typical High $15.49 | Facility | None | $4.27 | $7.08 | $15.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $5.62 | Professional | None | $4.27 | $5.13 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $10.23 Typical High $18.20 | Facility | None | $5.89 | $10.23 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $5.89 Typical High $8.32 | Professional | None | $3.47 | $5.89 | $8.32 |
Molina Setting Professional Modifier None Typical Low $3.63 Median $5.01 Typical High $5.01 | Professional | None | $3.63 | $5.01 | $5.01 |
Pacific Source Setting Facility Modifier None Typical Low $5.62 Median $6.76 Typical High $11.48 | Facility | None | $5.62 | $6.76 | $11.48 |
Premera BCBS Setting Facility Modifier None Typical Low $5.62 Median $10.00 Typical High $15.49 | Facility | None | $5.62 | $10.00 | $15.49 |
Premera BCBS Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.76 | Professional | None | $5.13 | $5.13 | $6.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $5.62 Median $9.33 Typical High $15.49 | Facility | None | $5.62 | $9.33 | $15.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $5.62 | Professional | None | $4.27 | $5.13 | $5.62 |
United Setting Facility Modifier None Typical Low $5.62 Median $6.76 Typical High $6.76 | Facility | None | $5.62 | $6.76 | $6.76 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.51 Typical High $6.31 | Professional | None | $2.40 | $2.51 | $6.31 |
Wellpoint Setting Professional Modifier None Typical Low $2.51 Median $5.62 Typical High $10.23 | Professional | None | $2.51 | $5.62 | $10.23 |
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 $2.69 Median $2.69 Typical High $3.39 | Professional | 52 · Reduced service | $2.69 | $2.69 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.35 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.35 |
Where Washington sits
The same service costs 13.5 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· 32nd of 51
$5.62
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.