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 $12.88 Median $12.88 Typical High $41.69 | Facility | None | $12.88 | $12.88 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | None | $12.88 | $12.88 | $13.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.23 Median $15.14 Typical High $37.15 | Facility | None | $10.23 | $15.14 | $37.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $13.49 | Professional | None | $10.23 | $12.30 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $35.48 | Facility | None | $14.13 | $21.88 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $14.45 Typical High $19.50 | Professional | None | $7.41 | $14.45 | $19.50 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $12.02 | Professional | None | $8.71 | $12.02 | $12.02 |
Pacific Source Setting Facility Modifier None Typical Low $13.49 Median $15.49 Typical High $27.54 | Facility | None | $13.49 | $15.49 | $27.54 |
Pacific Source Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $15.14 | Professional | None | $13.49 | $13.49 | $15.14 |
Premera BCBS Setting Facility Modifier None Typical Low $13.49 Median $23.99 Typical High $37.15 | Facility | None | $13.49 | $23.99 | $37.15 |
Premera BCBS Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | None | $12.30 | $12.30 | $16.22 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.49 Median $21.38 Typical High $37.15 | Facility | None | $13.49 | $21.38 | $37.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $13.49 | Professional | None | $10.23 | $12.30 | $13.49 |
United Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $16.22 | Facility | None | $13.49 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $5.75 Median $5.89 Typical High $15.14 | Professional | None | $5.75 | $5.89 | $15.14 |
Wellpoint Setting Professional Modifier None Typical Low $6.17 Median $13.49 Typical High $24.55 | Professional | None | $6.17 | $13.49 | $24.55 |
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 $6.46 Median $6.46 Typical High $6.61 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.63 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.63 |
Where Washington sits
The same service costs 4.6 times more in Vermont than in New Jersey. 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· 28th of 51
$12.88
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.