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 $3.47 Median $3.63 Typical High $16.22 | Facility | None | $3.47 | $3.63 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.55 Typical High $5.13 | Professional | None | $3.47 | $3.55 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $2.51 Typical High $7.41 | Professional | None | $2.24 | $2.51 | $7.41 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.75 Median $4.57 Typical High $10.00 | Facility | None | $2.75 | $4.57 | $10.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.75 Median $3.31 Typical High $3.63 | Professional | None | $2.75 | $3.31 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $6.61 Typical High $11.75 | Facility | None | $3.80 | $6.61 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.80 Typical High $5.13 | Professional | None | $2.34 | $3.80 | $5.13 |
Molina Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $3.24 | Professional | None | $2.34 | $3.24 | $3.24 |
Pacific Source Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $8.13 | Facility | None | $3.63 | $3.63 | $8.13 |
Pacific Source Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.63 | Professional | None | $3.31 | $3.31 | $3.63 |
Premera BCBS Setting Facility Modifier None Typical Low $3.63 Median $6.46 Typical High $10.00 | Facility | None | $3.63 | $6.46 | $10.00 |
Premera BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.37 | Professional | None | $3.31 | $3.31 | $4.37 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.63 Median $6.03 Typical High $10.00 | Facility | None | $3.63 | $6.03 | $10.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.75 Median $3.31 Typical High $3.63 | Professional | None | $2.75 | $3.31 | $3.63 |
United Setting Facility Modifier None Typical Low $3.63 Median $4.37 Typical High $4.37 | Facility | None | $3.63 | $4.37 | $4.37 |
United Setting Professional Modifier None Typical Low $1.55 Median $1.66 Typical High $4.07 | Professional | None | $1.55 | $1.66 | $4.07 |
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 $1.74 Median $1.74 Typical High $2.19 | Professional | 52 · Reduced service | $1.74 | $1.74 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.87 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.87 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $4.57 Median $6.61 Typical High $10.96 | Facility | QW · Waived lab test | $4.57 | $6.61 | $10.96 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $1.66 Median $3.63 Typical High $6.61 | Professional | QW · Waived lab test | $1.66 | $3.63 | $6.61 |
Where Washington sits
The same service costs 10.2 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· 36th of 51
$3.55
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.