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 $66.07 Median $66.07 Typical High $104.71 | Facility | None | $66.07 | $66.07 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $104.71 | Professional | None | $66.07 | $70.79 | $104.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $95.50 Typical High $194.98 | Facility | None | $52.48 | $95.50 | $194.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $60.26 Median $354.81 Typical High $524.81 | Professional | None | $60.26 | $354.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $125.89 Typical High $223.87 | Facility | None | $72.44 | $125.89 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $74.13 Typical High $95.50 | Professional | None | $41.69 | $74.13 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $173.78 | Professional | None | $60.26 | $83.18 | $173.78 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $75.86 | Professional | None | $56.23 | $61.66 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $63.10 Median $70.79 Typical High $141.25 | Facility | None | $63.10 | $70.79 | $141.25 |
Premera BCBS Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $208.93 | Facility | None | $77.62 | $123.03 | $208.93 |
Premera BCBS Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | None | $63.10 | $63.10 | $85.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $114.82 Typical High $194.98 | Facility | None | $70.79 | $114.82 | $194.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $85.11 | Professional | None | $60.26 | $70.79 | $85.11 |
United Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $85.11 | Facility | None | $70.79 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $79.43 | Professional | None | $29.51 | $29.51 | $79.43 |
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 $33.11 Median $33.11 Typical High $37.15 | Professional | 52 · Reduced service | $33.11 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.79 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.79 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | QW · Waived lab test | $125.89 | $125.89 | $125.89 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $87.10 Median $123.03 Typical High $208.93 | Facility | QW · Waived lab test | $87.10 | $123.03 | $208.93 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $31.62 Median $70.79 Typical High $125.89 | Professional | QW · Waived lab test | $31.62 | $70.79 | $125.89 |
Where Washington sits
The same service costs 4.0 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· 23rd of 51
$75.86
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.