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 $30.90 Median $30.90 Typical High $45.71 | Facility | None | $30.90 | $30.90 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $45.71 | Professional | None | $26.92 | $30.90 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $66.07 | Professional | None | $12.59 | $12.59 | $66.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $89.13 | Facility | None | $24.55 | $36.31 | $89.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $33.11 | Professional | None | $24.55 | $29.51 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $52.48 Typical High $85.11 | Facility | None | $47.86 | $52.48 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $44.67 | Professional | None | $16.60 | $20.42 | $44.67 |
Pacific Source Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $66.07 | Facility | None | $33.11 | $33.11 | $66.07 |
Premera BCBS Setting Facility Modifier None Typical Low $33.11 Median $57.54 Typical High $89.13 | Facility | None | $33.11 | $57.54 | $89.13 |
Premera BCBS Setting Professional Modifier None Typical Low $26.92 Median $29.51 Typical High $38.90 | Professional | None | $26.92 | $29.51 | $38.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $33.11 Median $48.98 Typical High $89.13 | Facility | None | $33.11 | $48.98 | $89.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $33.11 | Professional | None | $24.55 | $29.51 | $33.11 |
United Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $38.90 | Facility | None | $33.11 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $33.11 | Professional | None | $13.80 | $13.80 | $33.11 |
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 $15.49 Median $15.49 Typical High $15.85 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.31 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.31 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $40.74 Median $57.54 Typical High $97.72 | Facility | QW · Waived lab test | $40.74 | $57.54 | $97.72 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $14.79 Median $33.11 Typical High $58.88 | Professional | QW · Waived lab test | $14.79 | $33.11 | $58.88 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 22nd of 51
$30.90
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.