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 $17.38 Median $17.78 Typical High $70.79 | Facility | None | $17.38 | $17.78 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $28.84 | Professional | None | $17.38 | $21.88 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $35.48 Typical High $37.15 | Professional | None | $11.48 | $35.48 | $37.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.80 Median $23.44 Typical High $51.29 | Facility | None | $13.80 | $23.44 | $51.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $18.62 | Professional | None | $13.80 | $16.60 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $33.88 Typical High $47.86 | Facility | None | $19.50 | $33.88 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $19.95 Typical High $26.30 | Professional | None | $11.75 | $19.95 | $26.30 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $16.22 | Professional | None | $12.02 | $16.22 | $16.22 |
Pacific Source Setting Facility Modifier None Typical Low $18.62 Median $20.42 Typical High $37.15 | Facility | None | $18.62 | $20.42 | $37.15 |
Premera BCBS Setting Facility Modifier None Typical Low $18.62 Median $32.36 Typical High $51.29 | Facility | None | $18.62 | $32.36 | $51.29 |
Premera BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $22.39 | Professional | None | $16.60 | $16.60 | $22.39 |
Regence BlueShield Setting Facility Modifier None Typical Low $18.62 Median $30.90 Typical High $51.29 | Facility | None | $18.62 | $30.90 | $51.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $18.62 | Professional | None | $13.80 | $16.60 | $18.62 |
United Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $22.39 | Facility | None | $18.62 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $20.89 | Professional | None | $7.76 | $8.32 | $20.89 |
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 $8.71 Median $8.71 Typical High $11.22 | Professional | 52 · Reduced service | $8.71 | $8.71 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.47 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $23.44 Median $33.11 Typical High $56.23 | Facility | QW · Waived lab test | $23.44 | $33.11 | $56.23 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $8.32 Median $18.62 Typical High $33.11 | Professional | QW · Waived lab test | $8.32 | $18.62 | $33.11 |
Where Washington sits
The same service costs 6.8 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· 33rd of 51
$18.62
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.