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 $2.82 Median $3.24 Typical High $57.54 | Facility | None | $2.82 | $3.24 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.02 Typical High $4.27 | Professional | None | $2.82 | $3.02 | $4.27 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $1.82 Typical High $2.09 | Professional | None | $1.51 | $1.82 | $2.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.24 Median $4.47 Typical High $154.88 | Facility | None | $2.24 | $4.47 | $154.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.24 Median $2.69 Typical High $3.02 | Professional | None | $2.24 | $2.69 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $5.37 Typical High $9.55 | Facility | None | $3.09 | $5.37 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $3.09 Typical High $4.17 | Professional | None | $1.82 | $3.09 | $4.17 |
Molina Setting Professional Modifier None Typical Low $1.91 Median $2.63 Typical High $2.63 | Professional | None | $1.91 | $2.63 | $2.63 |
Pacific Source Setting Facility Modifier None Typical Low $3.02 Median $4.17 Typical High $5.89 | Facility | None | $3.02 | $4.17 | $5.89 |
Premera BCBS Setting Facility Modifier None Typical Low $3.02 Median $5.25 Typical High $9.33 | Facility | None | $3.02 | $5.25 | $9.33 |
Premera BCBS Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $3.63 | Professional | None | $2.69 | $2.69 | $3.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $28.18 Median $114.82 Typical High $223.87 | Facility | None | $28.18 | $114.82 | $223.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.24 Median $2.69 Typical High $3.02 | Professional | None | $2.24 | $2.69 | $3.02 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.35 Typical High $3.39 | Professional | None | $1.26 | $1.35 | $3.39 |
Wellpoint Setting Professional Modifier None Typical Low $1.35 Median $3.02 Typical High $5.37 | Professional | None | $1.35 | $3.02 | $5.37 |
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 $1.41 Median $1.41 Typical High $1.78 | Professional | 52 · Reduced service | $1.41 | $1.41 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.71 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.71 |
Where Washington sits
The same service costs 28.2 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· 40th of 51
$2.82
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.