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 $9.77 Median $10.23 Typical High $45.71 | Facility | None | $9.77 | $10.23 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $15.49 | Professional | None | $9.77 | $12.02 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $7.24 Typical High $19.50 | Professional | None | $5.13 | $7.24 | $19.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.76 Median $12.88 Typical High $28.18 | Facility | None | $7.76 | $12.88 | $28.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $10.23 | Professional | None | $7.76 | $9.33 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $18.62 Typical High $33.11 | Facility | None | $10.72 | $18.62 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $10.96 Typical High $15.14 | Professional | None | $6.31 | $10.96 | $15.14 |
Molina Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $9.12 | Professional | None | $6.61 | $9.12 | $9.12 |
Pacific Source Setting Facility Modifier None Typical Low $10.23 Median $11.75 Typical High $20.89 | Facility | None | $10.23 | $11.75 | $20.89 |
Premera BCBS Setting Facility Modifier None Typical Low $10.23 Median $18.20 Typical High $28.18 | Facility | None | $10.23 | $18.20 | $28.18 |
Premera BCBS Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $12.30 | Professional | None | $9.33 | $9.33 | $12.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $10.23 Median $16.98 Typical High $28.18 | Facility | None | $10.23 | $16.98 | $28.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $10.23 | Professional | None | $7.76 | $9.33 | $10.23 |
United Setting Facility Modifier None Typical Low $10.23 Median $12.30 Typical High $12.30 | Facility | None | $10.23 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $4.37 Median $4.68 Typical High $11.48 | Professional | None | $4.37 | $4.68 | $11.48 |
Wellpoint Setting Professional Modifier None Typical Low $4.68 Median $10.23 Typical High $18.62 | Professional | None | $4.68 | $10.23 | $18.62 |
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 $4.90 Median $4.90 Typical High $6.17 | Professional | 52 · Reduced service | $4.90 | $4.90 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.45 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.45 |
Where Washington sits
The same service costs 12.6 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
$10.23
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.