How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.96 Typical High $10.96 | Professional | None | $10.72 | $10.96 | $10.96 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | None | $13.18 | $13.18 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $25.70 Typical High $39.81 | Facility | None | $12.88 | $25.70 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $23.44 Typical High $64.57 | Professional | None | $6.03 | $23.44 | $64.57 |
Highmark BCBS Setting Facility Modifier None Typical Low $26.92 Median $57.54 Typical High $104.71 | Facility | None | $26.92 | $57.54 | $104.71 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $33.88 | Professional | None | $6.03 | $7.59 | $33.88 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 90 · Outside lab | $10.00 | $10.00 | $10.00 |
Where West Virginia sits
The same service costs 4.7 times more in Alaska than in Georgia. 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.
West Virginia· 33rd of 51
$12.59
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.