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 $7.76 Median $25.12 Typical High $37.15 | Facility | None | $7.76 | $25.12 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $11.48 | Professional | None | $7.76 | $7.76 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $5.75 | Professional | None | $5.01 | $5.75 | $5.75 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $6.17 Median $10.23 Typical High $22.39 | Facility | None | $6.17 | $10.23 | $22.39 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6.17 Median $7.41 Typical High $8.13 | Professional | None | $6.17 | $7.41 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $14.79 Typical High $20.89 | Facility | None | $8.51 | $14.79 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $11.75 | Professional | None | $5.13 | $8.71 | $11.75 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $7.24 Typical High $7.24 | Professional | None | $5.25 | $7.24 | $7.24 |
Pacific Source Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $16.60 | Facility | None | $8.13 | $9.77 | $16.60 |
Premera BCBS Setting Facility Modifier None Typical Low $8.13 Median $14.45 Typical High $22.39 | Facility | None | $8.13 | $14.45 | $22.39 |
Premera BCBS Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $9.77 | Professional | None | $7.41 | $7.41 | $9.77 |
Regence BlueShield Setting Facility Modifier None Typical Low $8.13 Median $13.49 Typical High $22.39 | Facility | None | $8.13 | $13.49 | $22.39 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.17 Median $7.41 Typical High $8.13 | Professional | None | $6.17 | $7.41 | $8.13 |
United Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $9.77 | Facility | None | $8.13 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $3.47 Median $3.72 Typical High $9.12 | Professional | None | $3.47 | $3.72 | $9.12 |
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 $3.89 Median $3.89 Typical High $4.90 | Professional | 52 · Reduced service | $3.89 | $3.89 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.95 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.95 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $10.23 Median $14.79 Typical High $24.55 | Facility | QW · Waived lab test | $10.23 | $14.79 | $24.55 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $3.72 Median $8.13 Typical High $14.79 | Professional | QW · Waived lab test | $3.72 | $8.13 | $14.79 |
Where Washington sits
The same service costs 3.0 times more in Alaska 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· 32nd of 51
$7.94
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.