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 $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $69.18 | Professional | None | $19.50 | $24.55 | $69.18 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $93.33 | Professional | None | $27.54 | $28.84 | $93.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $51.29 Typical High $128.82 | Facility | None | $34.67 | $51.29 | $128.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $46.77 | Professional | None | $34.67 | $41.69 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $67.61 Typical High $117.49 | Facility | None | $17.78 | $67.61 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $93.33 | Facility | None | $46.77 | $56.23 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $46.77 Median $81.28 Typical High $138.04 | Facility | None | $46.77 | $81.28 | $138.04 |
Premera BCBS Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $56.23 | Professional | None | $36.31 | $41.69 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $128.82 | Facility | None | $46.77 | $69.18 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $46.77 | Professional | None | $34.67 | $41.69 | $46.77 |
United Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $56.23 | Facility | None | $46.77 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $8.13 Median $19.50 Typical High $46.77 | Professional | None | $8.13 | $19.50 | $46.77 |
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 $21.88 Median $21.88 Typical High $22.39 | Professional | 52 · Reduced service | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.91 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $57.54 Median $81.28 Typical High $138.04 | Facility | QW · Waived lab test | $57.54 | $81.28 | $138.04 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $20.89 Median $46.77 Typical High $83.18 | Professional | QW · Waived lab test | $20.89 | $46.77 | $83.18 |
Where Washington sits
The same service costs 4.9 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· 19th of 51
$41.69
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.