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 $5.75 Median $7.08 Typical High $66.07 | Facility | None | $5.75 | $7.08 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $6.03 Typical High $8.32 | Professional | None | $5.25 | $6.03 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $3.55 Median $4.17 Typical High $4.68 | Professional | None | $3.55 | $4.17 | $4.68 |
AvMed Setting Facility Modifier None Typical Low $5.62 Median $7.08 Typical High $8.51 | Facility | None | $5.62 | $7.08 | $8.51 |
AvMed Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $10.23 | Professional | None | $5.62 | $7.08 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $8.71 Typical High $28.84 | Facility | None | $4.90 | $8.71 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $7.41 Typical High $14.13 | Professional | None | $3.80 | $7.41 | $14.13 |
Florida Blue Setting Facility Modifier None Typical Low $7.24 Median $12.88 Typical High $44.67 | Facility | None | $7.24 | $12.88 | $44.67 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | QW · Waived lab test | $12.88 | $12.88 | $12.88 |
Florida Blue Setting Professional Modifier None Typical Low $4.90 Median $9.77 Typical High $9.77 | Professional | None | $4.90 | $9.77 | $9.77 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $4.17 Median $4.17 Typical High $7.08 | Professional | QW · Waived lab test | $4.17 | $4.17 | $7.08 |
Molina Setting Professional Modifier None Typical Low $3.39 Median $4.17 Typical High $4.90 | Professional | None | $3.39 | $4.17 | $4.90 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $2.95 Median $4.17 Typical High $54.95 | Professional | None | $2.95 | $4.17 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | None | $4.17 | $4.17 | $4.17 |
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 $2.82 Median $3.02 Typical High $3.24 | Professional | 52 · Reduced service | $2.82 | $3.02 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.20 Typical High $1.32 | Professional | 53 · Discontinued | $1.12 | $1.20 | $1.32 |
Where Florida sits
The same service costs 9.3 times more in Vermont than in New Jersey. 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· 34th of 51
$6.92
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.