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 $11.75 Typical High $38.90 | Facility | None | $11.75 | $11.75 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $15.14 | Professional | None | $11.75 | $11.75 | $15.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $34.67 | Facility | None | $9.33 | $13.80 | $34.67 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $12.59 | Professional | None | $9.33 | $11.22 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $22.91 Typical High $38.90 | Facility | None | $13.18 | $22.91 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $18.20 | Professional | None | $7.76 | $13.18 | $18.20 |
Molina Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $12.59 | Professional | None | $8.13 | $8.13 | $12.59 |
Pacific Source Setting Facility Modifier None Typical Low $12.59 Median $13.80 Typical High $25.70 | Facility | None | $12.59 | $13.80 | $25.70 |
Pacific Source Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Premera BCBS Setting Facility Modifier None Typical Low $12.59 Median $21.88 Typical High $34.67 | Facility | None | $12.59 | $21.88 | $34.67 |
Premera BCBS Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $15.14 | Professional | None | $11.22 | $11.22 | $15.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $12.59 Median $20.89 Typical High $34.67 | Facility | None | $12.59 | $20.89 | $34.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $12.59 | Professional | None | $9.33 | $11.22 | $12.59 |
United Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $15.14 | Facility | None | $12.59 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $5.25 Median $5.62 Typical High $14.13 | Professional | None | $5.25 | $5.62 | $14.13 |
Wellpoint Setting Professional Modifier None Typical Low $5.62 Median $12.59 Typical High $22.39 | Professional | None | $5.62 | $12.59 | $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 $7.59 | Professional | 52 · Reduced service | $5.89 | $5.89 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $3.02 | Professional | 53 · Discontinued | $2.34 | $2.34 | $3.02 |
Where Washington sits
The same service costs 3.5 times more in South Carolina 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· 30th 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.