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 $7.24 Median $8.51 Typical High $23.44 | Facility | None | $7.24 | $8.51 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.59 Typical High $12.88 | Professional | None | $6.76 | $7.59 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.89 | Professional | None | $4.27 | $4.27 | $5.89 |
AvMed Setting Facility Modifier None Typical Low $6.76 Median $8.51 Typical High $10.23 | Facility | None | $6.76 | $8.51 | $10.23 |
AvMed Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $12.30 | Professional | None | $6.76 | $8.51 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $10.47 Typical High $33.88 | Facility | None | $5.89 | $10.47 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $8.71 Typical High $16.98 | Professional | None | $5.37 | $8.71 | $16.98 |
Florida Blue Setting Facility Modifier None Typical Low $8.71 Median $15.49 Typical High $54.95 | Facility | None | $8.71 | $15.49 | $54.95 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | QW · Waived lab test | $15.49 | $15.49 | $15.49 |
Florida Blue Setting Professional Modifier None Typical Low $5.89 Median $11.75 Typical High $11.75 | Professional | None | $5.89 | $11.75 | $11.75 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $5.13 Median $5.13 Typical High $8.51 | Professional | QW · Waived lab test | $5.13 | $5.13 | $8.51 |
Molina Setting Professional Modifier None Typical Low $1.00 Median $4.07 Typical High $5.89 | Professional | None | $1.00 | $4.07 | $5.89 |
United Setting Facility Modifier None Typical Low $2.88 Median $2.88 Typical High $8.51 | Facility | None | $2.88 | $2.88 | $8.51 |
United Setting Professional Modifier None Typical Low $3.16 Median $5.13 Typical High $54.95 | Professional | None | $3.16 | $5.13 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
2 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 $3.47 Median $3.63 Typical High $3.98 | Professional | 52 · Reduced service | $3.47 | $3.63 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.45 Typical High $1.58 | Professional | 53 · Discontinued | $1.38 | $1.45 | $1.58 |
Where Florida sits
The same service costs 14.8 times more in Minnesota 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.
Florida· 32nd of 51
$8.51
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.