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 $7.08 Median $7.08 Typical High $11.22 | Facility | None | $7.08 | $7.08 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $8.71 Typical High $11.75 | Professional | None | $7.08 | $8.71 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $3.80 Median $5.25 Typical High $15.14 | Professional | None | $3.80 | $5.25 | $15.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5.62 Median $9.33 Typical High $20.89 | Facility | None | $5.62 | $9.33 | $20.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $7.59 | Professional | None | $5.62 | $6.76 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $13.80 Typical High $23.99 | Facility | None | $7.76 | $13.80 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $7.94 Typical High $10.96 | Professional | None | $4.68 | $7.94 | $10.96 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $6.61 | Professional | None | $4.79 | $6.61 | $6.61 |
Pacific Source Setting Facility Modifier None Typical Low $7.59 Median $7.94 Typical High $27.54 | Facility | None | $7.59 | $7.94 | $27.54 |
Pacific Source Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Premera BCBS Setting Facility Modifier None Typical Low $7.59 Median $13.18 Typical High $20.89 | Facility | None | $7.59 | $13.18 | $20.89 |
Premera BCBS Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $9.12 | Professional | None | $6.76 | $6.76 | $9.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $7.59 Median $12.30 Typical High $20.89 | Facility | None | $7.59 | $12.30 | $20.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $7.59 | Professional | None | $5.62 | $6.76 | $7.59 |
United Setting Facility Modifier None Typical Low $7.59 Median $9.12 Typical High $9.12 | Facility | None | $7.59 | $9.12 | $9.12 |
United Setting Professional Modifier None Typical Low $3.16 Median $3.39 Typical High $8.51 | Professional | None | $3.16 | $3.39 | $8.51 |
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 $3.55 Median $3.55 Typical High $4.47 | Professional | 52 · Reduced service | $3.55 | $3.55 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.82 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.82 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $9.33 Median $13.49 Typical High $22.39 | Facility | QW · Waived lab test | $9.33 | $13.49 | $22.39 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $3.39 Median $7.59 Typical High $13.49 | Professional | QW · Waived lab test | $3.39 | $7.59 | $13.49 |
Where Washington sits
The same service costs 21.4 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· 32nd of 51
$7.59
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.