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 $15.85 Median $16.22 Typical High $23.44 | Facility | None | $15.85 | $16.22 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $23.44 | Professional | None | $10.96 | $15.85 | $23.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.59 Median $19.50 Typical High $47.86 | Facility | None | $12.59 | $19.50 | $47.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $16.98 | Professional | None | $12.59 | $15.14 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $24.55 Typical High $43.65 | Facility | None | $15.49 | $24.55 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $15.49 Typical High $22.91 | Professional | None | $8.51 | $15.49 | $22.91 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $14.79 | Professional | None | $10.72 | $14.79 | $14.79 |
Pacific Source Setting Facility Modifier None Typical Low $16.98 Median $17.78 Typical High $33.88 | Facility | None | $16.98 | $17.78 | $33.88 |
Premera BCBS Setting Facility Modifier None Typical Low $16.98 Median $29.51 Typical High $45.71 | Facility | None | $16.98 | $29.51 | $45.71 |
Premera BCBS Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $19.95 | Professional | None | $13.49 | $15.14 | $19.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.98 Median $25.12 Typical High $45.71 | Facility | None | $16.98 | $25.12 | $45.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $16.98 | Professional | None | $12.59 | $15.14 | $16.98 |
United Setting Facility Modifier None Typical Low $16.98 Median $19.95 Typical High $19.95 | Facility | None | $16.98 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $16.98 | Professional | None | $7.08 | $7.08 | $16.98 |
5 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 $7.94 Median $7.94 Typical High $8.13 | Professional | 52 · Reduced service | $7.94 | $7.94 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.24 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.24 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $8.32 Typical High $22.91 | Professional | QW · Waived lab test | $7.08 | $8.32 | $22.91 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $20.89 Median $29.51 Typical High $50.12 | Facility | QW · Waived lab test | $20.89 | $29.51 | $50.12 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $7.59 Median $16.98 Typical High $30.20 | Professional | QW · Waived lab test | $7.59 | $16.98 | $30.20 |
Where Washington sits
The same service costs 3.6 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
$15.85
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.