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 $4.68 Median $4.90 Typical High $36.31 | Facility | None | $4.68 | $4.90 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.90 Typical High $7.41 | Professional | None | $4.68 | $4.90 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $3.47 | Professional | None | $3.02 | $3.47 | $3.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.72 Median $6.17 Typical High $13.49 | Facility | None | $3.72 | $6.17 | $13.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.72 Median $4.47 Typical High $4.90 | Professional | None | $3.72 | $4.47 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $8.91 Typical High $12.88 | Facility | None | $5.13 | $8.91 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $5.25 Typical High $7.24 | Professional | None | $3.09 | $5.25 | $7.24 |
Molina Setting Professional Modifier None Typical Low $3.16 Median $4.37 Typical High $4.37 | Professional | None | $3.16 | $4.37 | $4.37 |
Pacific Source Setting Facility Modifier None Typical Low $4.90 Median $6.92 Typical High $10.00 | Facility | None | $4.90 | $6.92 | $10.00 |
Premera BCBS Setting Facility Modifier None Typical Low $4.90 Median $8.71 Typical High $13.49 | Facility | None | $4.90 | $8.71 | $13.49 |
Premera BCBS Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.89 | Professional | None | $4.47 | $4.47 | $5.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.90 Median $8.13 Typical High $13.49 | Facility | None | $4.90 | $8.13 | $13.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.72 Median $4.47 Typical High $4.90 | Professional | None | $3.72 | $4.47 | $4.90 |
United Setting Facility Modifier None Typical Low $4.90 Median $5.89 Typical High $5.89 | Facility | None | $4.90 | $5.89 | $5.89 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.24 Typical High $5.50 | Professional | None | $2.09 | $2.24 | $5.50 |
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 $2.34 Median $2.34 Typical High $2.95 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $1.17 | Professional | 53 · Discontinued | $0.93 | $0.93 | $1.17 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $6.17 Median $8.91 Typical High $14.79 | Facility | QW · Waived lab test | $6.17 | $8.91 | $14.79 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $2.24 Median $4.90 Typical High $8.91 | Professional | QW · Waived lab test | $2.24 | $4.90 | $8.91 |
Where Washington sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 27th of 51
$4.90
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.