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 $6.76 Median $6.76 Typical High $31.62 | Facility | None | $6.76 | $6.76 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.24 Typical High $11.22 | Professional | None | $6.76 | $7.24 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $5.01 Typical High $13.80 | Professional | None | $4.37 | $5.01 | $13.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5.37 Median $8.91 Typical High $19.95 | Facility | None | $5.37 | $8.91 | $19.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.37 Median $6.46 Typical High $7.24 | Professional | None | $5.37 | $6.46 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $13.18 Typical High $22.91 | Facility | None | $7.41 | $13.18 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $7.59 Typical High $10.47 | Professional | None | $4.57 | $7.59 | $10.47 |
Molina Setting Professional Modifier None Typical Low $4.57 Median $6.31 Typical High $6.31 | Professional | None | $4.57 | $6.31 | $6.31 |
Pacific Source Setting Facility Modifier None Typical Low $7.24 Median $12.02 Typical High $14.79 | Facility | None | $7.24 | $12.02 | $14.79 |
Premera BCBS Setting Facility Modifier None Typical Low $7.24 Median $12.59 Typical High $19.95 | Facility | None | $7.24 | $12.59 | $19.95 |
Premera BCBS Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.71 | Professional | None | $6.46 | $6.46 | $8.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $7.24 Median $11.75 Typical High $19.95 | Facility | None | $7.24 | $11.75 | $19.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.37 Median $6.46 Typical High $7.24 | Professional | None | $5.37 | $6.46 | $7.24 |
United Setting Facility Modifier None Typical Low $7.24 Median $8.71 Typical High $8.71 | Facility | None | $7.24 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.24 Typical High $8.13 | Professional | None | $3.02 | $3.24 | $8.13 |
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 $3.39 Median $3.39 Typical High $4.27 | Professional | 52 · Reduced service | $3.39 | $3.39 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.74 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.74 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $8.91 Median $12.88 Typical High $21.38 | Facility | QW · Waived lab test | $8.91 | $12.88 | $21.38 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $3.24 Median $7.24 Typical High $12.88 | Professional | QW · Waived lab test | $3.24 | $7.24 | $12.88 |
Where Washington sits
The same service costs 5.8 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· 35th of 51
$7.08
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.