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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | None | $13.18 | $14.13 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.24 Median $83.18 Typical High $165.96 | Facility | None | $3.24 | $83.18 | $165.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $10.00 Typical High $15.14 | Professional | None | $5.25 | $10.00 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $10.47 | Professional | None | $4.79 | $6.31 | $10.47 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $15.49 | Professional | None | $8.71 | $11.22 | $15.49 |
Pacific Source Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $19.50 | Facility | None | $11.75 | $19.50 | $19.50 |
Premera BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Premera BCBS Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $158.49 | Facility | None | $64.57 | $85.11 | $158.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
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 $5.89 Median $7.24 Typical High $14.45 | Professional | None | $5.89 | $7.24 | $14.45 |
Wellpoint Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $6.76 | Professional | None | $4.27 | $5.01 | $6.76 |
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 Washington 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.
Washington· 13th of 51
$14.45
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.