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 $5.89 Median $5.89 Typical High $19.05 | Facility | None | $5.89 | $5.89 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.89 Typical High $9.33 | Professional | None | $5.37 | $5.89 | $9.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.68 Median $7.08 Typical High $16.98 | Facility | None | $4.68 | $7.08 | $16.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.68 Median $5.62 Typical High $6.17 | Professional | None | $4.68 | $5.62 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $9.12 Typical High $16.22 | Facility | None | $5.89 | $9.12 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $6.03 Typical High $8.51 | Professional | None | $3.09 | $6.03 | $8.51 |
Molina Setting Professional Modifier None Typical Low $3.98 Median $5.50 Typical High $5.50 | Professional | None | $3.98 | $5.50 | $5.50 |
Pacific Source Setting Facility Modifier None Typical Low $5.75 Median $6.17 Typical High $12.59 | Facility | None | $5.75 | $6.17 | $12.59 |
Premera BCBS Setting Facility Modifier None Typical Low $6.17 Median $10.96 Typical High $16.98 | Facility | None | $6.17 | $10.96 | $16.98 |
Premera BCBS Setting Professional Modifier None Typical Low $5.13 Median $5.62 Typical High $7.41 | Professional | None | $5.13 | $5.62 | $7.41 |
Regence BlueShield Setting Facility Modifier None Typical Low $6.17 Median $9.33 Typical High $16.98 | Facility | None | $6.17 | $9.33 | $16.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.68 Median $5.62 Typical High $6.17 | Professional | None | $4.68 | $5.62 | $6.17 |
United Setting Facility Modifier None Typical Low $6.17 Median $7.41 Typical High $7.41 | Facility | None | $6.17 | $7.41 | $7.41 |
United Setting Professional Modifier None Typical Low $3.72 Median $3.89 Typical High $6.46 | Professional | None | $3.72 | $3.89 | $6.46 |
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 $2.95 Median $2.95 Typical High $3.02 | Professional | 52 · Reduced service | $2.95 | $2.95 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $1.20 | Professional | 53 · Discontinued | $1.17 | $1.17 | $1.20 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $7.76 Median $10.96 Typical High $18.62 | Facility | QW · Waived lab test | $7.76 | $10.96 | $18.62 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $2.82 Median $6.17 Typical High $11.22 | Professional | QW · Waived lab test | $2.82 | $6.17 | $11.22 |
Where Washington sits
The same service costs 3.5 times more in Alaska 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· 29th of 51
$5.89
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.