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 $23.99 Median $23.99 Typical High $79.43 | Facility | None | $23.99 | $23.99 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | None | $23.99 | $23.99 | $30.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.05 Median $28.18 Typical High $70.79 | Facility | None | $19.05 | $28.18 | $70.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $25.70 | Professional | None | $19.05 | $22.91 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $37.15 Typical High $66.07 | Facility | None | $25.12 | $37.15 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $26.92 Typical High $36.31 | Professional | None | $12.88 | $26.92 | $36.31 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | None | $16.22 | $22.39 | $22.39 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $28.18 Typical High $51.29 | Facility | None | $25.70 | $28.18 | $51.29 |
Premera BCBS Setting Facility Modifier None Typical Low $25.70 Median $44.67 Typical High $70.79 | Facility | None | $25.70 | $44.67 | $70.79 |
Premera BCBS Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $30.90 | Professional | None | $21.88 | $22.91 | $30.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $39.81 Typical High $70.79 | Facility | None | $25.70 | $39.81 | $70.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $25.70 | Professional | None | $19.05 | $22.91 | $25.70 |
United Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $30.90 | Facility | None | $25.70 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $27.54 | Professional | None | $10.72 | $10.72 | $27.54 |
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 $12.02 Median $12.02 Typical High $12.30 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.01 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.01 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $31.62 Median $44.67 Typical High $75.86 | Facility | QW · Waived lab test | $31.62 | $44.67 | $75.86 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $25.70 Typical High $45.71 | Professional | QW · Waived lab test | $11.48 | $25.70 | $45.71 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 26th of 51
$23.99
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.