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 $5.13 Median $5.13 Typical High $56.23 | Facility | None | $5.13 | $5.13 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $7.41 | Professional | None | $5.13 | $5.13 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.72 Typical High $3.72 | Professional | None | $3.31 | $3.72 | $3.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.07 Median $8.13 Typical High $234.42 | Facility | None | $4.07 | $8.13 | $234.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $5.37 | Professional | None | $4.07 | $4.79 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $9.77 Typical High $17.38 | Facility | None | $5.62 | $9.77 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $5.50 Typical High $7.76 | Professional | None | $3.31 | $5.50 | $7.76 |
Molina Setting Professional Modifier None Typical Low $3.47 Median $4.79 Typical High $4.79 | Professional | None | $3.47 | $4.79 | $4.79 |
Pacific Source Setting Facility Modifier None Typical Low $5.37 Median $6.46 Typical High $10.72 | Facility | None | $5.37 | $6.46 | $10.72 |
Premera BCBS Setting Facility Modifier None Typical Low $5.37 Median $9.33 Typical High $16.60 | Facility | None | $5.37 | $9.33 | $16.60 |
Premera BCBS Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.46 | Professional | None | $4.79 | $4.79 | $6.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $28.18 Median $173.78 Typical High $338.84 | Facility | None | $28.18 | $173.78 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $5.37 | Professional | None | $4.07 | $4.79 | $5.37 |
United Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Facility | None | $173.78 | $229.09 | $354.81 |
United Setting Professional Modifier None Typical Low $2.24 Median $2.45 Typical High $6.03 | Professional | None | $2.24 | $2.45 | $6.03 |
Wellpoint Setting Professional Modifier None Typical Low $2.45 Median $5.37 Typical High $9.77 | Professional | None | $2.45 | $5.37 | $9.77 |
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 $2.51 Median $2.51 Typical High $3.24 | Professional | 52 · Reduced service | $2.51 | $2.51 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.29 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.29 |
Where Washington sits
The same service costs 11.2 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· 33rd of 51
$5.13
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.