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 $2.24 Median $2.82 Typical High $10.72 | Facility | None | $2.24 | $2.82 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.75 Typical High $3.72 | Professional | None | $2.24 | $2.75 | $3.72 |
Ambetter Setting Professional Modifier None Typical Low $1.20 Median $1.62 Typical High $4.47 | Professional | None | $1.20 | $1.62 | $4.47 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.20 Median $3.24 Typical High $7.08 | Professional | QW · Waived lab test | $1.20 | $3.24 | $7.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1.78 Median $2.95 Typical High $6.46 | Facility | None | $1.78 | $2.95 | $6.46 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1.78 Median $2.14 Typical High $2.34 | Professional | None | $1.78 | $2.14 | $2.34 |
Cigna Setting Facility Modifier None Typical Low $2.45 Median $4.27 Typical High $7.59 | Facility | None | $2.45 | $4.27 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $1.45 Median $2.40 Typical High $3.39 | Professional | None | $1.45 | $2.40 | $3.39 |
Molina Setting Professional Modifier None Typical Low $1.51 Median $2.09 Typical High $2.09 | Professional | None | $1.51 | $2.09 | $2.09 |
Pacific Source Setting Facility Modifier None Typical Low $2.34 Median $3.31 Typical High $4.57 | Facility | None | $2.34 | $3.31 | $4.57 |
Premera BCBS Setting Facility Modifier None Typical Low $2.34 Median $4.17 Typical High $6.46 | Facility | None | $2.34 | $4.17 | $6.46 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $2.95 Median $4.27 Typical High $7.08 | Facility | QW · Waived lab test | $2.95 | $4.27 | $7.08 |
Premera BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.82 | Professional | None | $2.14 | $2.14 | $2.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $2.34 Median $3.89 Typical High $6.46 | Facility | None | $2.34 | $3.89 | $6.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.78 Median $2.14 Typical High $2.34 | Professional | None | $1.78 | $2.14 | $2.34 |
United Setting Facility Modifier None Typical Low $2.34 Median $2.82 Typical High $2.82 | Facility | None | $2.34 | $2.82 | $2.82 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.00 Typical High $2.82 | Professional | None | $1.41 | $2.00 | $2.82 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $1.07 Median $2.34 Typical High $4.27 | Professional | QW · Waived lab test | $1.07 | $2.34 | $4.27 |
2 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 $1.12 Median $1.12 Typical High $1.41 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.56 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.56 |
Where Washington sits
The same service costs 16.6 times more in Minnesota than in Washington, DC. 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· 39th of 51
$2.34
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.