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 $4.37 Median $4.37 Typical High $7.08 | Facility | None | $4.37 | $4.37 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $6.03 | Professional | None | $4.37 | $4.37 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.47 Median $5.25 Typical High $12.59 | Facility | None | $3.47 | $5.25 | $12.59 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.47 Median $4.17 Typical High $4.57 | Professional | None | $3.47 | $4.17 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $8.32 Typical High $14.79 | Facility | None | $4.79 | $8.32 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $4.79 Typical High $6.76 | Professional | None | $2.88 | $4.79 | $6.76 |
Molina Setting Professional Modifier None Typical Low $2.95 Median $4.07 Typical High $4.07 | Professional | None | $2.95 | $4.07 | $4.07 |
Pacific Source Setting Facility Modifier None Typical Low $4.57 Median $6.46 Typical High $9.33 | Facility | None | $4.57 | $6.46 | $9.33 |
Premera BCBS Setting Facility Modifier None Typical Low $4.57 Median $8.13 Typical High $12.59 | Facility | None | $4.57 | $8.13 | $12.59 |
Premera BCBS Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $5.50 | Professional | None | $4.17 | $4.17 | $5.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.57 Median $7.59 Typical High $12.59 | Facility | None | $4.57 | $7.59 | $12.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.47 Median $4.17 Typical High $4.57 | Professional | None | $3.47 | $4.17 | $4.57 |
United Setting Facility Modifier None Typical Low $4.57 Median $5.50 Typical High $5.50 | Facility | None | $4.57 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.04 Typical High $5.13 | Professional | None | $1.95 | $2.04 | $5.13 |
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 $2.14 Median $2.14 Typical High $2.75 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.10 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.10 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $5.75 Median $8.32 Typical High $13.80 | Facility | QW · Waived lab test | $5.75 | $8.32 | $13.80 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $2.04 Median $4.57 Typical High $8.32 | Professional | QW · Waived lab test | $2.04 | $4.57 | $8.32 |
Where Washington sits
The same service costs 4.4 times more in Minnesota 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· 35th of 51
$4.37
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.