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 $4.79 Median $4.79 Typical High $23.44 | Facility | None | $4.79 | $4.79 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.75 Typical High $7.24 | Professional | None | $4.79 | $5.75 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.55 Typical High $10.23 | Professional | None | $3.16 | $3.55 | $10.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.89 Median $6.46 Typical High $14.13 | Facility | None | $3.89 | $6.46 | $14.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.89 Median $4.68 Typical High $5.13 | Professional | None | $3.89 | $4.68 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $9.33 Typical High $13.18 | Facility | None | $5.37 | $9.33 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $5.50 Typical High $7.41 | Professional | None | $3.31 | $5.50 | $7.41 |
Molina Setting Professional Modifier None Typical Low $3.31 Median $4.57 Typical High $4.57 | Professional | None | $3.31 | $4.57 | $4.57 |
Pacific Source Setting Facility Modifier None Typical Low $5.13 Median $5.37 Typical High $10.47 | Facility | None | $5.13 | $5.37 | $10.47 |
Premera BCBS Setting Facility Modifier None Typical Low $5.13 Median $9.12 Typical High $14.13 | Facility | None | $5.13 | $9.12 | $14.13 |
Premera BCBS Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $6.17 | Professional | None | $4.68 | $4.68 | $6.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $5.13 Median $8.51 Typical High $14.13 | Facility | None | $5.13 | $8.51 | $14.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.89 Median $4.68 Typical High $5.13 | Professional | None | $3.89 | $4.68 | $5.13 |
United Setting Facility Modifier None Typical Low $5.13 Median $6.17 Typical High $6.17 | Facility | None | $5.13 | $6.17 | $6.17 |
United Setting Professional Modifier None Typical Low $2.19 Median $2.29 Typical High $5.75 | Professional | None | $2.19 | $2.29 | $5.75 |
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 $2.45 Median $2.45 Typical High $3.09 | Professional | 52 · Reduced service | $2.45 | $2.45 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $0.98 Typical High $1.23 | Professional | 53 · Discontinued | $0.98 | $0.98 | $1.23 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $6.46 Median $9.33 Typical High $15.49 | Facility | QW · Waived lab test | $6.46 | $9.33 | $15.49 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $2.29 Median $5.13 Typical High $9.33 | Professional | QW · Waived lab test | $2.29 | $5.13 | $9.33 |
Where Washington sits
The same service costs 8.1 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
$5.13
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.