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 $12.88 Median $16.22 Typical High $61.66 | Facility | None | $12.88 | $16.22 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $19.05 | Professional | None | $12.88 | $12.88 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $9.55 Typical High $9.55 | Professional | None | $8.32 | $9.55 | $9.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.23 Median $16.98 Typical High $38.02 | Facility | None | $10.23 | $16.98 | $38.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $13.80 | Professional | None | $10.23 | $12.30 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $24.55 Typical High $43.65 | Facility | None | $14.13 | $24.55 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $14.45 Typical High $19.50 | Professional | None | $8.51 | $14.45 | $19.50 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $12.02 | Professional | None | $8.71 | $12.02 | $12.02 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $15.49 Typical High $27.54 | Facility | None | $13.80 | $15.49 | $27.54 |
Premera BCBS Setting Facility Modifier None Typical Low $13.80 Median $23.99 Typical High $38.02 | Facility | None | $13.80 | $23.99 | $38.02 |
Premera BCBS Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $16.60 | Professional | None | $12.30 | $12.30 | $16.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.80 Median $22.39 Typical High $38.02 | Facility | None | $13.80 | $22.39 | $38.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $13.80 | Professional | None | $10.23 | $12.30 | $13.80 |
United Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $16.60 | Facility | None | $13.80 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $5.75 Median $6.17 Typical High $15.49 | Professional | None | $5.75 | $6.17 | $15.49 |
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 $6.46 Median $6.46 Typical High $8.13 | Professional | 52 · Reduced service | $6.46 | $6.46 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.24 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.24 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $24.55 Typical High $40.74 | Facility | QW · Waived lab test | $16.98 | $24.55 | $40.74 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $6.17 Median $13.80 Typical High $24.55 | Professional | QW · Waived lab test | $6.17 | $13.80 | $24.55 |
Where Washington sits
The same service costs 9.5 times more in Vermont than in Rhode Island. 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· 34th of 51
$12.88
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.