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 $51.29 Median $51.29 Typical High $190.55 | Facility | None | $51.29 | $51.29 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $85.11 | Professional | None | $51.29 | $51.29 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $97.72 Typical High $97.72 | Professional | None | $25.70 | $97.72 | $97.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $38.90 Median $66.07 Typical High $141.25 | Facility | None | $38.90 | $66.07 | $141.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $43.65 Median $257.04 Typical High $389.05 | Professional | None | $43.65 | $257.04 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $109.65 Typical High $128.82 | Facility | None | $75.86 | $109.65 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $54.95 Typical High $70.79 | Professional | None | $28.84 | $54.95 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $128.82 | Professional | None | $40.74 | $60.26 | $128.82 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $102.33 | Facility | None | $51.29 | $53.70 | $102.33 |
Premera BCBS Setting Facility Modifier None Typical Low $51.29 Median $89.13 Typical High $154.88 | Facility | None | $51.29 | $89.13 | $154.88 |
Premera BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $61.66 | Professional | None | $45.71 | $45.71 | $61.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $81.28 Typical High $141.25 | Facility | None | $51.29 | $81.28 | $141.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $61.66 | Professional | None | $43.65 | $51.29 | $61.66 |
United Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $61.66 | Facility | None | $51.29 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $52.48 | Professional | None | $30.90 | $30.90 | $52.48 |
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 $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $34.67 Median $83.18 Typical High $97.72 | Professional | QW · Waived lab test | $34.67 | $83.18 | $97.72 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $64.57 Median $89.13 Typical High $154.88 | Facility | QW · Waived lab test | $64.57 | $89.13 | $154.88 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $22.91 Median $51.29 Typical High $93.33 | Professional | QW · Waived lab test | $22.91 | $51.29 | $93.33 |
Where Washington sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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· 19th of 51
$53.70
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.