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 $57.54 Median $870.96 Typical High $1,023.29 | Facility | None | $57.54 | $870.96 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $57.54 Typical High $89.13 | Professional | None | $53.70 | $57.54 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | None | $43.65 | $43.65 | $51.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.18 Median $602.56 Typical High $1,230.27 | Facility | None | $28.18 | $602.56 | $1,230.27 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $97.72 | Professional | None | $53.70 | $79.43 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $107.15 | Professional | None | $54.95 | $63.10 | $107.15 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $51.29 Typical High $77.62 | Professional | None | $9.12 | $51.29 | $77.62 |
Pacific Source Setting Facility Modifier None Typical Low $42.66 Median $69.18 Typical High $104.71 | Facility | None | $42.66 | $69.18 | $104.71 |
Premera BCBS Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $52.48 | Facility | None | $50.12 | $52.48 | $52.48 |
Premera BCBS Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $426.58 Median $630.96 Typical High $1,174.90 | Facility | None | $426.58 | $630.96 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $97.72 | Professional | None | $53.70 | $79.43 | $97.72 |
United Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,258.93 | Facility | None | $630.96 | $831.76 | $1,258.93 |
United Setting Professional Modifier None Typical Low $46.77 Median $77.62 Typical High $109.65 | Professional | None | $46.77 | $77.62 | $109.65 |
Wellpoint Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $85.11 | Professional | None | $52.48 | $54.95 | $85.11 |
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 Facility Modifier 59 · Distinct service Typical Low $537.03 Median $891.25 Typical High $1,071.52 | Facility | 59 · Distinct service | $537.03 | $891.25 | $1,071.52 |
Aetna Setting Facility Modifier XU · Unusual separate service Typical Low $954.99 Median $1,047.13 Typical High $1,445.44 | Facility | XU · Unusual separate service | $954.99 | $1,047.13 | $1,445.44 |
Where Washington sits
The same service costs 8.1 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· 36th of 51
$57.54
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.