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 $4.17 Median $4.79 Typical High $19.95 | Facility | None | $4.17 | $4.79 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $6.17 | Professional | None | $4.17 | $4.17 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $4.37 | Professional | None | $2.19 | $3.09 | $4.37 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.31 Median $5.50 Typical High $12.02 | Facility | None | $3.31 | $5.50 | $12.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.31 Median $3.98 Typical High $4.37 | Professional | None | $3.31 | $3.98 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $7.94 Typical High $14.13 | Facility | None | $4.57 | $7.94 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $4.47 Typical High $6.46 | Professional | None | $2.75 | $4.47 | $6.46 |
Molina Setting Professional Modifier None Typical Low $2.82 Median $3.89 Typical High $3.89 | Professional | None | $2.82 | $3.89 | $3.89 |
Pacific Source Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $8.71 | Facility | None | $4.37 | $4.37 | $8.71 |
Premera BCBS Setting Facility Modifier None Typical Low $4.37 Median $7.76 Typical High $12.02 | Facility | None | $4.37 | $7.76 | $12.02 |
Premera BCBS Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $5.25 | Professional | None | $3.98 | $3.98 | $5.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.37 Median $7.24 Typical High $12.02 | Facility | None | $4.37 | $7.24 | $12.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.31 Median $3.98 Typical High $4.37 | Professional | None | $3.31 | $3.98 | $4.37 |
United Setting Facility Modifier None Typical Low $4.37 Median $5.25 Typical High $5.25 | Facility | None | $4.37 | $5.25 | $5.25 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.00 Typical High $4.90 | Professional | None | $1.86 | $2.00 | $4.90 |
Wellpoint Setting Professional Modifier None Typical Low $2.00 Median $4.37 Typical High $7.94 | Professional | None | $2.00 | $4.37 | $7.94 |
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 $2.04 Median $2.04 Typical High $2.63 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $1.05 | Professional | 53 · Discontinued | $0.83 | $0.83 | $1.05 |
Where Washington sits
The same service costs 4.2 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· 31st of 51
$4.27
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.