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 $9.77 Median $9.77 Typical High $16.22 | Facility | None | $9.77 | $9.77 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.47 Typical High $15.85 | Professional | None | $9.77 | $10.47 | $15.85 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.94 Median $13.18 Typical High $28.84 | Facility | None | $7.94 | $13.18 | $28.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $10.47 | Professional | None | $7.94 | $9.33 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $17.38 Typical High $26.92 | Facility | None | $10.96 | $17.38 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $10.96 Typical High $14.79 | Professional | None | $6.03 | $10.96 | $14.79 |
Molina Setting Professional Modifier None Typical Low $6.76 Median $9.33 Typical High $9.33 | Professional | None | $6.76 | $9.33 | $9.33 |
Pacific Source Setting Facility Modifier None Typical Low $10.47 Median $12.59 Typical High $21.38 | Facility | None | $10.47 | $12.59 | $21.38 |
Premera BCBS Setting Facility Modifier None Typical Low $10.47 Median $18.20 Typical High $28.84 | Facility | None | $10.47 | $18.20 | $28.84 |
Premera BCBS Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $12.59 | Professional | None | $9.33 | $9.33 | $12.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $10.47 Median $16.98 Typical High $28.84 | Facility | None | $10.47 | $16.98 | $28.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $10.47 | Professional | None | $7.94 | $9.33 | $10.47 |
United Setting Facility Modifier None Typical Low $10.47 Median $12.59 Typical High $12.59 | Facility | None | $10.47 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $4.37 Median $4.68 Typical High $11.75 | Professional | None | $4.37 | $4.68 | $11.75 |
5 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 $4.90 Median $4.90 Typical High $5.75 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.29 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.29 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 59 · Distinct service | $6.46 | $6.61 | $6.61 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $13.18 Median $19.05 Typical High $31.62 | Facility | QW · Waived lab test | $13.18 | $19.05 | $31.62 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $4.68 Median $10.47 Typical High $19.05 | Professional | QW · Waived lab test | $4.68 | $10.47 | $19.05 |
Where Washington sits
The same service costs 5.6 times more in Minnesota 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· 30th of 51
$10.23
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.