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 $4.07 Median $5.13 Typical High $42.66 | Facility | None | $4.07 | $5.13 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.57 Typical High $6.61 | Professional | None | $4.07 | $4.57 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $2.63 Median $3.98 Typical High $8.13 | Professional | None | $2.63 | $3.98 | $8.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.24 Median $5.37 Typical High $11.75 | Facility | None | $3.24 | $5.37 | $11.75 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.24 Median $3.89 Typical High $4.27 | Professional | None | $3.24 | $3.89 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $7.08 Typical High $12.59 | Facility | None | $4.47 | $7.08 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $4.37 Typical High $6.17 | Professional | None | $2.34 | $4.37 | $6.17 |
Molina Setting Professional Modifier None Typical Low $2.75 Median $3.80 Typical High $3.80 | Professional | None | $2.75 | $3.80 | $3.80 |
Pacific Source Setting Facility Modifier None Typical Low $4.27 Median $5.37 Typical High $8.71 | Facility | None | $4.27 | $5.37 | $8.71 |
Premera BCBS Setting Facility Modifier None Typical Low $4.27 Median $7.59 Typical High $11.75 | Facility | None | $4.27 | $7.59 | $11.75 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $5.37 Median $7.76 Typical High $12.88 | Facility | QW · Waived lab test | $5.37 | $7.76 | $12.88 |
Premera BCBS Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $5.13 | Professional | None | $3.89 | $3.89 | $5.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.27 Median $7.08 Typical High $11.75 | Facility | None | $4.27 | $7.08 | $11.75 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.24 Median $3.89 Typical High $4.27 | Professional | None | $3.24 | $3.89 | $4.27 |
United Setting Facility Modifier None Typical Low $4.27 Median $5.13 Typical High $5.13 | Facility | None | $4.27 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $5.13 | Professional | None | $2.57 | $3.24 | $5.13 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $1.95 Median $4.27 Typical High $7.76 | Professional | QW · Waived lab test | $1.95 | $4.27 | $7.76 |
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 $2.04 Median $2.04 Typical High $2.34 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.93 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.93 |
Where Washington sits
The same service costs 14.8 times more in Minnesota 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· 35th of 51
$4.27
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.