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 $13.18 Median $13.18 Typical High $19.50 | Facility | None | $13.18 | $13.18 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $19.50 | Professional | None | $10.96 | $13.18 | $19.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.47 Median $15.85 Typical High $42.66 | Facility | None | $10.47 | $15.85 | $42.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $13.80 | Professional | None | $10.47 | $12.59 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $21.88 Typical High $36.31 | Facility | None | $14.45 | $21.88 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $14.45 Typical High $19.95 | Professional | None | $7.41 | $14.45 | $19.95 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $12.30 | Professional | None | $8.91 | $12.30 | $12.30 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $15.14 Typical High $28.18 | Facility | None | $13.80 | $15.14 | $28.18 |
Premera BCBS Setting Facility Modifier None Typical Low $13.80 Median $24.55 Typical High $38.02 | Facility | None | $13.80 | $24.55 | $38.02 |
Premera BCBS Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $16.60 | Professional | None | $12.59 | $12.59 | $16.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.80 Median $21.88 Typical High $38.02 | Facility | None | $13.80 | $21.88 | $38.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $13.80 | Professional | None | $10.47 | $12.59 | $13.80 |
United Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $16.60 | Facility | None | $13.80 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.03 Typical High $15.49 | Professional | None | $5.89 | $6.03 | $15.49 |
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 $6.61 Median $6.61 Typical High $6.76 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.69 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $17.38 Median $24.55 Typical High $41.69 | Facility | QW · Waived lab test | $17.38 | $24.55 | $41.69 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $6.31 Median $13.80 Typical High $25.12 | Professional | QW · Waived lab test | $6.31 | $13.80 | $25.12 |
Where Washington sits
The same service costs 3.3 times more in Kansas 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
$13.18
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.