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 $11.75 Median $12.02 Typical High $56.23 | Facility | None | $11.75 | $12.02 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $17.38 | Professional | None | $11.75 | $11.75 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $23.44 | Professional | None | $6.17 | $8.51 | $23.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.33 Median $15.49 Typical High $33.88 | Facility | None | $9.33 | $15.49 | $33.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $12.30 | Professional | None | $9.33 | $11.22 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $22.39 Typical High $31.62 | Facility | None | $12.88 | $22.39 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $13.18 Typical High $17.38 | Professional | None | $7.59 | $13.18 | $17.38 |
Molina Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $10.96 | Professional | None | $7.94 | $10.96 | $10.96 |
Pacific Source Setting Facility Modifier None Typical Low $12.30 Median $13.49 Typical High $24.55 | Facility | None | $12.30 | $13.49 | $24.55 |
Premera BCBS Setting Facility Modifier None Typical Low $12.30 Median $21.88 Typical High $33.88 | Facility | None | $12.30 | $21.88 | $33.88 |
Premera BCBS Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $12.30 Median $20.42 Typical High $33.88 | Facility | None | $12.30 | $20.42 | $33.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $12.30 | Professional | None | $9.33 | $11.22 | $12.30 |
United Setting Facility Modifier None Typical Low $12.30 Median $14.79 Typical High $14.79 | Facility | None | $12.30 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $5.25 Median $5.62 Typical High $13.80 | Professional | None | $5.25 | $5.62 | $13.80 |
Wellpoint Setting Professional Modifier None Typical Low $5.62 Median $12.30 Typical High $22.39 | Professional | None | $5.62 | $12.30 | $22.39 |
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 $5.89 Median $5.89 Typical High $7.41 | Professional | 52 · Reduced service | $5.89 | $5.89 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.95 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.95 |
Where Washington sits
The same service costs 8.1 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
$12.02
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.