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 $10.47 Median $10.47 Typical High $51.29 | Facility | None | $10.47 | $10.47 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $15.49 | Professional | None | $10.47 | $10.47 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $7.76 Typical High $22.39 | Professional | None | $6.92 | $7.76 | $22.39 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.51 Median $14.13 Typical High $30.90 | Facility | None | $8.51 | $14.13 | $30.90 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $11.22 | Professional | None | $8.51 | $10.23 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $20.42 Typical High $31.62 | Facility | None | $11.75 | $20.42 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $16.60 | Professional | None | $7.08 | $11.75 | $16.60 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $10.00 | Professional | None | $7.24 | $10.00 | $10.00 |
Pacific Source Setting Facility Modifier None Typical Low $11.22 Median $12.30 Typical High $22.91 | Facility | None | $11.22 | $12.30 | $22.91 |
Premera BCBS Setting Facility Modifier None Typical Low $11.22 Median $19.50 Typical High $30.90 | Facility | None | $11.22 | $19.50 | $30.90 |
Premera BCBS Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $13.49 | Professional | None | $10.23 | $10.23 | $13.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $11.22 Median $18.62 Typical High $30.90 | Facility | None | $11.22 | $18.62 | $30.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $11.22 | Professional | None | $8.51 | $10.23 | $11.22 |
United Setting Facility Modifier None Typical Low $11.22 Median $13.49 Typical High $13.49 | Facility | None | $11.22 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $12.59 | Professional | None | $4.68 | $5.13 | $12.59 |
Wellpoint Setting Professional Modifier None Typical Low $5.13 Median $11.22 Typical High $20.42 | Professional | None | $5.13 | $11.22 | $20.42 |
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 $5.25 Median $5.25 Typical High $6.76 | Professional | 52 · Reduced service | $5.25 | $5.25 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.69 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.69 |
Where Washington sits
The same service costs 11.7 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
$10.72
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.