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 $141.25 Median $141.25 Typical High $630.96 | Facility | None | $141.25 | $141.25 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $239.88 | Professional | None | $141.25 | $141.25 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $263.03 | Professional | None | $194.98 | $199.53 | $263.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $107.15 Median $186.21 Typical High $389.05 | Facility | None | $107.15 | $186.21 | $389.05 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $120.23 Median $707.95 Typical High $1,071.52 | Professional | None | $120.23 | $707.95 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $363.08 | Facility | None | $208.93 | $302.00 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $151.36 Typical High $194.98 | Professional | None | $79.43 | $151.36 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $354.81 | Professional | None | $114.82 | $165.96 | $354.81 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $125.89 | Professional | None | $75.86 | $114.82 | $125.89 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $158.49 Typical High $316.23 | Facility | None | $141.25 | $158.49 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $141.25 Median $251.19 Typical High $426.58 | Facility | None | $141.25 | $251.19 | $426.58 |
Premera BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | None | $128.82 | $128.82 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $389.05 | Facility | None | $141.25 | $229.09 | $389.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $162.18 | Professional | None | $120.23 | $141.25 | $162.18 |
United Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $169.82 | Facility | None | $141.25 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $158.49 | Professional | None | $60.26 | $66.07 | $158.49 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $177.83 Median $251.19 Typical High $426.58 | Facility | QW · Waived lab test | $177.83 | $251.19 | $426.58 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $64.57 Median $141.25 Typical High $257.04 | Professional | QW · Waived lab test | $64.57 | $141.25 | $257.04 |
Where Washington sits
The same service costs 4.3 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· 17th of 51
$151
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.