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 $3.98 Median $13.18 Typical High $19.50 | Facility | None | $3.98 | $13.18 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.17 Typical High $6.46 | Professional | None | $3.98 | $4.17 | $6.46 |
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 $3.80 Typical High $4.27 | Professional | None | $3.24 | $3.80 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $6.46 Typical High $11.48 | Facility | None | $4.47 | $6.46 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $4.07 Typical High $6.17 | Professional | None | $2.19 | $4.07 | $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 $4.47 Typical High $8.51 | Facility | None | $4.27 | $4.47 | $8.51 |
Premera BCBS Setting Facility Modifier None Typical Low $4.27 Median $7.41 Typical High $11.75 | Facility | None | $4.27 | $7.41 | $11.75 |
Premera BCBS Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $5.13 | Professional | None | $3.80 | $3.80 | $5.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.27 Median $6.76 Typical High $11.75 | Facility | None | $4.27 | $6.76 | $11.75 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.24 Median $3.80 Typical High $4.27 | Professional | None | $3.24 | $3.80 | $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 $2.95 Typical High $5.01 | Professional | None | $2.57 | $2.95 | $5.01 |
Wellpoint Setting Professional Modifier None Typical Low $1.91 Median $4.27 Typical High $7.76 | Professional | None | $1.91 | $4.27 | $7.76 |
3 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 $2.00 Median $2.00 Typical High $2.14 | Professional | 52 · Reduced service | $2.00 | $2.00 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.79 Typical High $0.85 | Professional | 53 · Discontinued | $0.79 | $0.79 | $0.85 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $3.98 Median $3.98 Typical High $4.68 | Professional | QW · Waived lab test | $3.98 | $3.98 | $4.68 |
Where Washington sits
The same service costs 4.4 times more in Alaska 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· 28th 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.