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 $45.71 Median $45.71 Typical High $56.23 | Facility | None | $45.71 | $45.71 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | None | $45.71 | $45.71 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $33.11 Typical High $33.11 | Professional | None | $15.14 | $33.11 | $33.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $44.67 Typical High $97.72 | Facility | None | $26.30 | $44.67 | $97.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $35.48 | Professional | None | $26.30 | $33.88 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $72.44 Typical High $89.13 | Facility | None | $31.62 | $72.44 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $36.31 Typical High $47.86 | Professional | None | $19.50 | $36.31 | $47.86 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $30.90 | Professional | None | $22.39 | $30.90 | $30.90 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $38.90 Typical High $70.79 | Facility | None | $35.48 | $38.90 | $70.79 |
Premera BCBS Setting Facility Modifier None Typical Low $35.48 Median $61.66 Typical High $107.15 | Facility | None | $35.48 | $61.66 | $107.15 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $44.67 Median $61.66 Typical High $107.15 | Facility | QW · Waived lab test | $44.67 | $61.66 | $107.15 |
Premera BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | None | $31.62 | $31.62 | $42.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $97.72 | Facility | None | $35.48 | $58.88 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $35.48 | Professional | None | $26.30 | $35.48 | $35.48 |
United Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $42.66 | Facility | None | $35.48 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $44.67 | Professional | None | $14.79 | $19.05 | $44.67 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $15.85 Median $35.48 Typical High $63.10 | Professional | QW · Waived lab test | $15.85 | $35.48 | $63.10 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Washington sits
The same service costs 4.5 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· 36th of 51
$35.48
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.