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 $6.76 Median $6.76 Typical High $7.08 | Facility | None | $6.76 | $6.76 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $6.76 | Professional | None | $4.07 | $5.50 | $6.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $6.61 Median $8.32 Typical High $11.48 | Facility | None | $6.61 | $8.32 | $11.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $7.59 | Professional | None | $4.57 | $4.57 | $7.59 |
Molina Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Pacific Source Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Premera BCBS Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $7.41 Median $8.13 Typical High $11.48 | Facility | None | $7.41 | $8.13 | $11.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $10.23 | Professional | None | $7.08 | $8.91 | $10.23 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QN · Ambulance by provider Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | QN · Ambulance by provider | $14.13 | $14.13 | $14.13 |
Where Washington sits
The same service costs 12.9 times more in Texas than in North Carolina. 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· 32nd of 51
$8.71
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.