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 $3.72 Median $3.72 Typical High $9.77 | Facility | None | $3.72 | $3.72 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $5.50 | Professional | None | $3.72 | $3.72 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $2.75 Typical High $7.76 | Professional | None | $2.40 | $2.75 | $7.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.95 Median $4.90 Typical High $10.72 | Facility | None | $2.95 | $4.90 | $10.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.95 Median $3.55 Typical High $3.89 | Professional | None | $2.95 | $3.55 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $7.08 Typical High $12.59 | Facility | None | $4.07 | $7.08 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $4.17 Typical High $5.62 | Professional | None | $2.34 | $4.17 | $5.62 |
Molina Setting Professional Modifier None Typical Low $2.51 Median $3.47 Typical High $3.47 | Professional | None | $2.51 | $3.47 | $3.47 |
Pacific Source Setting Facility Modifier None Typical Low $3.89 Median $4.68 Typical High $7.94 | Facility | None | $3.89 | $4.68 | $7.94 |
Premera BCBS Setting Facility Modifier None Typical Low $3.89 Median $6.92 Typical High $10.72 | Facility | None | $3.89 | $6.92 | $10.72 |
Premera BCBS Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.68 | Professional | None | $3.55 | $3.55 | $4.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.89 Median $6.46 Typical High $10.72 | Facility | None | $3.89 | $6.46 | $10.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.95 Median $3.55 Typical High $3.89 | Professional | None | $2.95 | $3.55 | $3.89 |
United Setting Facility Modifier None Typical Low $3.89 Median $4.68 Typical High $4.68 | Facility | None | $3.89 | $4.68 | $4.68 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $4.68 | Professional | None | $2.34 | $3.24 | $4.68 |
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 $1.82 Median $1.82 Typical High $2.34 | Professional | 52 · Reduced service | $1.82 | $1.82 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $0.93 | Professional | 53 · Discontinued | $0.74 | $0.74 | $0.93 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $4.90 Median $7.08 Typical High $11.75 | Facility | QW · Waived lab test | $4.90 | $7.08 | $11.75 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $1.78 Median $3.89 Typical High $7.08 | Professional | QW · Waived lab test | $1.78 | $3.89 | $7.08 |
Where Washington sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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· 36th of 51
$3.89
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.