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 $0.03 Median $0.03 Typical High $173.78 | Facility | None | $0.03 | $0.03 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3.02 Median $10.00 Typical High $19.50 | Professional | None (both parts) | $3.02 | $10.00 | $19.50 |
AvMed Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Facility | None | $50.12 | $50.12 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.32 Median $21.88 Typical High $43.65 | Professional | None (both parts) | $8.32 | $21.88 | $43.65 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $4.68 Median $6.61 Typical High $21.88 | Professional | None (both parts) | $4.68 | $6.61 | $21.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $3.39 Median $13.49 Typical High $16.98 | Professional | None (both parts) | $3.39 | $13.49 | $16.98 |
United Setting Professional Modifier None (both parts) Typical Low $8.51 Median $10.47 Typical High $26.30 | Professional | None (both parts) | $8.51 | $10.47 | $26.30 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $12.59 Median $16.98 Typical High $16.98 | Professional | None (both parts) | $12.59 | $16.98 | $16.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | TC · Technical part | $13.49 | $13.49 | $13.49 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $8.71 Median $8.71 Typical High $10.72 | Professional | 90 · Outside lab | $8.71 | $8.71 | $10.72 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 26 · Professional part | $3.39 | $3.39 | $3.39 |
Where Florida sits
The same service costs 20.0 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.
Florida· 35th of 51
$12.30
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.