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 $12.59 Median $12.88 Typical High $58.88 | Facility | None | $12.59 | $12.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.49 Typical High $20.89 | Professional | None | $12.59 | $15.49 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $25.70 | Professional | None | $7.94 | $8.91 | $25.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.00 Median $16.60 Typical High $37.15 | Facility | None | $10.00 | $16.60 | $37.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $13.49 | Professional | None | $10.00 | $12.02 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $24.55 Typical High $42.66 | Facility | None | $13.80 | $24.55 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $14.13 Typical High $21.38 | Professional | None | $8.32 | $14.13 | $21.38 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $11.75 | Professional | None | $8.51 | $11.75 | $11.75 |
Pacific Source Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $26.92 | Facility | None | $13.49 | $13.49 | $26.92 |
Premera BCBS Setting Facility Modifier None Typical Low $13.49 Median $23.44 Typical High $37.15 | Facility | None | $13.49 | $23.44 | $37.15 |
Premera BCBS Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.22 | Professional | None | $12.02 | $12.02 | $16.22 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.49 Median $21.88 Typical High $37.15 | Facility | None | $13.49 | $21.88 | $37.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $13.49 | Professional | None | $10.00 | $12.02 | $13.49 |
United Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $16.22 | Facility | None | $13.49 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $15.14 | Professional | None | $5.62 | $6.03 | $15.14 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.31 Typical High $7.94 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.24 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.24 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $16.60 Median $23.99 Typical High $39.81 | Facility | QW · Waived lab test | $16.60 | $23.99 | $39.81 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $6.03 Median $13.49 Typical High $23.99 | Professional | QW · Waived lab test | $6.03 | $13.49 | $23.99 |
Where Washington sits
The same service costs 10.7 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· 31st of 51
$13.49
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.