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 $22.39 Median $22.39 Typical High $33.88 | Facility | None | $22.39 | $22.39 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | None | $22.39 | $22.39 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $18.20 Median $27.54 Typical High $66.07 | Facility | None | $18.20 | $27.54 | $66.07 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $23.99 | Professional | None | $18.20 | $21.88 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $43.65 Typical High $61.66 | Facility | None | $25.12 | $43.65 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Pacific Source Setting Facility Modifier None Typical Low $23.99 Median $33.88 Typical High $47.86 | Facility | None | $23.99 | $33.88 | $47.86 |
Premera BCBS Setting Facility Modifier None Typical Low $23.99 Median $41.69 Typical High $72.44 | Facility | None | $23.99 | $41.69 | $72.44 |
Premera BCBS Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | None | $21.88 | $21.88 | $28.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $23.99 Median $39.81 Typical High $66.07 | Facility | None | $23.99 | $39.81 | $66.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $23.99 | Professional | None | $18.20 | $21.88 | $23.99 |
United Setting Facility Modifier None Typical Low $23.99 Median $28.84 Typical High $28.84 | Facility | None | $23.99 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $26.92 | Professional | None | $10.00 | $10.96 | $26.92 |
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 $11.22 Median $11.22 Typical High $14.45 | Professional | 52 · Reduced service | $11.22 | $11.22 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.75 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.75 |
Premera BCBS Setting Facility Modifier QW · Waived lab test Typical Low $30.20 Median $41.69 Typical High $72.44 | Facility | QW · Waived lab test | $30.20 | $41.69 | $72.44 |
Wellpoint Setting Professional Modifier QW · Waived lab test Typical Low $10.96 Median $23.99 Typical High $43.65 | Professional | QW · Waived lab test | $10.96 | $23.99 | $43.65 |
Where Washington sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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
$22.39
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.