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 $11.22 Median $11.22 Typical High $53.70 | Facility | None | $11.22 | $11.22 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.22 Typical High $17.78 | Professional | None | $10.96 | $11.22 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.91 Median $13.80 Typical High $33.11 | Facility | None | $8.91 | $13.80 | $33.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $12.02 | Professional | None | $8.91 | $10.72 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.88 Typical High $38.90 | Facility | None | $12.59 | $21.88 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $12.88 Typical High $16.98 | Professional | None | $7.41 | $12.88 | $16.98 |
Molina Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $10.47 | Professional | None | $7.59 | $10.47 | $10.47 |
Pacific Source Setting Facility Modifier None Typical Low $12.02 Median $14.45 Typical High $23.99 | Facility | None | $12.02 | $14.45 | $23.99 |
Premera BCBS Setting Facility Modifier None Typical Low $12.02 Median $20.89 Typical High $33.11 | Facility | None | $12.02 | $20.89 | $33.11 |
Premera BCBS Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.45 | Professional | None | $10.72 | $10.72 | $14.45 |
Regence BlueShield Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $33.11 | Facility | None | $12.02 | $19.95 | $33.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $12.02 | Professional | None | $8.91 | $10.72 | $12.02 |
United Setting Facility Modifier None Typical Low $12.02 Median $14.45 Typical High $14.45 | Facility | None | $12.02 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.37 Typical High $13.49 | Professional | None | $5.01 | $5.37 | $13.49 |
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 $5.62 Median $5.62 Typical High $5.75 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.29 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.29 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $15.14 Median $21.38 Typical High $36.31 | Facility | QW · Waived lab test | $15.14 | $21.38 | $36.31 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $5.37 Median $12.02 Typical High $21.38 | Professional | QW · Waived lab test | $5.37 | $12.02 | $21.38 |
Where Washington sits
The same service costs 5.5 times more in Vermont 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· 34th of 51
$11.22
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.