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 $4.47 Median $6.61 Typical High $18.20 | Facility | None | $4.47 | $6.61 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.57 Typical High $7.08 | Professional | None | $4.47 | $4.57 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $8.71 Typical High $9.55 | Professional | None | $2.88 | $8.71 | $9.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.55 Median $5.89 Typical High $13.18 | Facility | None | $3.55 | $5.89 | $13.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.55 Median $4.27 Typical High $4.79 | Professional | None | $3.55 | $4.27 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $8.71 Typical High $15.14 | Facility | None | $4.90 | $8.71 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $5.25 Typical High $7.24 | Professional | None | $2.88 | $5.25 | $7.24 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $4.17 Typical High $4.17 | Professional | None | $3.02 | $4.17 | $4.17 |
Pacific Source Setting Facility Modifier None Typical Low $4.79 Median $5.75 Typical High $9.33 | Facility | None | $4.79 | $5.75 | $9.33 |
Premera BCBS Setting Facility Modifier None Typical Low $4.79 Median $8.32 Typical High $13.18 | Facility | None | $4.79 | $8.32 | $13.18 |
Premera BCBS Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.75 | Professional | None | $4.27 | $4.27 | $5.75 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.79 Median $7.76 Typical High $13.18 | Facility | None | $4.79 | $7.76 | $13.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.55 Median $4.27 Typical High $4.79 | Professional | None | $3.55 | $4.27 | $4.79 |
United Setting Facility Modifier None Typical Low $4.79 Median $5.75 Typical High $5.75 | Facility | None | $4.79 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.89 Typical High $5.75 | Professional | None | $2.82 | $3.89 | $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 $2.24 Median $2.24 Typical High $2.82 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $1.12 | Professional | 53 · Discontinued | $0.89 | $0.89 | $1.12 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $5.89 Median $8.51 Typical High $14.13 | Facility | QW · Waived lab test | $5.89 | $8.51 | $14.13 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $2.14 Median $4.79 Typical High $8.51 | Professional | QW · Waived lab test | $2.14 | $4.79 | $8.51 |
Where Washington sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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
$4.79
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.