How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $14.13 | Professional | None | $13.80 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $13.49 Typical High $14.45 | Professional | None | $5.89 | $13.49 | $14.45 |
Moda Health Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $19.95 | Facility | None | $14.13 | $14.13 | $19.95 |
Moda Health Setting Professional Modifier None Typical Low $6.46 Median $14.13 Typical High $14.13 | Professional | None | $6.46 | $14.13 | $14.13 |
Premera BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Providence Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $3.72 | Facility | None | $2.57 | $2.57 | $3.72 |
Providence Setting Professional Modifier None Typical Low $6.03 Median $14.45 Typical High $79.43 | Professional | None | $6.03 | $14.45 | $79.43 |
United Setting Professional Modifier None Typical Low $5.25 Median $12.02 Typical High $23.99 | Professional | None | $5.25 | $12.02 | $23.99 |
4 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $10.23 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $11.48 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $11.48 |
United Setting Professional Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | HO · Master's level | $12.30 | $12.30 | $13.80 |
United Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | HP · Doctoral level | $12.30 | $12.30 | $13.80 |
Where Alaska sits
The same service costs 11.0 times more in Washington, DC than in Alabama. 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.
Alaska· 15th of 51
$14.13
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.