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 $7.08 Median $8.13 Typical High $23.99 | Facility | None | $7.08 | $8.13 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.59 Typical High $12.30 | Professional | None | $6.92 | $7.59 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $6.03 | Professional | None | $4.37 | $5.25 | $6.03 |
AvMed Setting Facility Modifier None Typical Low $6.92 Median $8.71 Typical High $10.47 | Facility | None | $6.92 | $8.71 | $10.47 |
AvMed Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $12.59 | Professional | None | $6.92 | $8.71 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $10.72 Typical High $35.48 | Facility | None | $6.03 | $10.72 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $9.33 Typical High $17.38 | Professional | None | $4.68 | $9.33 | $17.38 |
Florida Blue Setting Facility Modifier None Typical Low $8.91 Median $16.22 Typical High $16.22 | Facility | None | $8.91 | $16.22 | $16.22 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | QW · Waived lab test | $16.22 | $16.22 | $16.22 |
Florida Blue Setting Professional Modifier None Typical Low $6.03 Median $12.02 Typical High $12.02 | Professional | None | $6.03 | $12.02 | $12.02 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $5.25 Median $5.25 Typical High $8.71 | Professional | QW · Waived lab test | $5.25 | $5.25 | $8.71 |
Molina Setting Professional Modifier None Typical Low $1.05 Median $4.17 Typical High $6.17 | Professional | None | $1.05 | $4.17 | $6.17 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $3.16 Median $5.25 Typical High $54.95 | Professional | None | $3.16 | $5.25 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
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 $3.55 Median $3.72 Typical High $4.07 | Professional | 52 · Reduced service | $3.55 | $3.72 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.51 Typical High $1.62 | Professional | 53 · Discontinued | $1.41 | $1.51 | $1.62 |
Where Florida sits
The same service costs 10.5 times more in Vermont 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· 38th of 51
$8.13
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.