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 $15.14 Median $15.14 Typical High $72.44 | Facility | None | $15.14 | $15.14 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $22.39 | Professional | None | $10.96 | $15.14 | $22.39 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $44.67 | Facility | None | $12.02 | $18.62 | $44.67 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $16.22 | Professional | None | $12.02 | $14.45 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $41.69 | Facility | None | $15.49 | $23.44 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $16.98 Typical High $22.91 | Professional | None | $8.13 | $16.98 | $22.91 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $14.13 | Professional | None | $10.23 | $14.13 | $14.13 |
Pacific Source Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $26.30 | Facility | None | $16.22 | $17.78 | $26.30 |
Premera BCBS Setting Facility Modifier None Typical Low $16.22 Median $28.18 Typical High $44.67 | Facility | None | $16.22 | $28.18 | $44.67 |
Premera BCBS Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $19.50 | Professional | None | $13.49 | $14.45 | $19.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.22 Median $24.55 Typical High $44.67 | Facility | None | $16.22 | $24.55 | $44.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $16.22 | Professional | None | $12.02 | $14.45 | $16.22 |
United Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $19.50 | Facility | None | $16.22 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $16.60 | Professional | None | $6.76 | $6.76 | $16.60 |
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 $7.59 Median $7.59 Typical High $7.76 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.09 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.09 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $19.95 Median $28.18 Typical High $47.86 | Facility | QW · Waived lab test | $19.95 | $28.18 | $47.86 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $7.24 Median $16.22 Typical High $28.84 | Professional | QW · Waived lab test | $7.24 | $16.22 | $28.84 |
Where Washington sits
The same service costs 3.5 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· 28th of 51
$15.14
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.