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 $10.72 Median $10.96 Typical High $45.71 | Facility | None | $10.72 | $10.96 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.22 | Professional | None | $10.96 | $10.96 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $21.88 | Professional | None | $7.94 | $7.94 | $21.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.71 Median $14.45 Typical High $31.62 | Facility | None | $8.71 | $14.45 | $31.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $11.48 | Professional | None | $8.71 | $10.47 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $20.89 Typical High $37.15 | Facility | None | $12.02 | $20.89 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $16.60 | Professional | None | $7.24 | $12.02 | $16.60 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $10.23 | Professional | None | $7.41 | $10.23 | $10.23 |
Pacific Source Setting Facility Modifier None Typical Low $11.48 Median $17.38 Typical High $23.44 | Facility | None | $11.48 | $17.38 | $23.44 |
Premera BCBS Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $31.62 | Facility | None | $11.48 | $19.95 | $31.62 |
Premera BCBS Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $13.80 | Professional | None | $10.47 | $10.47 | $13.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $11.48 Median $19.05 Typical High $31.62 | Facility | None | $11.48 | $19.05 | $31.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $11.48 | Professional | None | $8.71 | $10.47 | $11.48 |
United Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $13.80 | Facility | None | $11.48 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $4.79 Median $5.25 Typical High $12.88 | Professional | None | $4.79 | $5.25 | $12.88 |
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 $5.37 Median $5.37 Typical High $5.62 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.24 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.24 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $14.45 Median $20.89 Typical High $34.67 | Facility | QW · Waived lab test | $14.45 | $20.89 | $34.67 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $5.25 Median $11.48 Typical High $20.89 | Professional | QW · Waived lab test | $5.25 | $11.48 | $20.89 |
Where Washington sits
The same service costs 5.2 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· 36th of 51
$10.96
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.