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 $6.46 Median $7.24 Typical High $13.18 | Facility | None | $6.46 | $7.24 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $13.18 | Professional | None | $6.46 | $6.76 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.39 Typical High $5.13 | Professional | 52 · Reduced service | $3.24 | $3.39 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.35 Typical High $2.04 | Professional | 53 · Discontinued | $1.29 | $1.35 | $2.04 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $6.31 Typical High $13.49 | Professional | None | $4.27 | $6.31 | $13.49 |
BCBS Tennessee Setting Professional Modifier None Typical Low $4.47 Median $8.71 Typical High $8.71 | Professional | None | $4.47 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $17.38 Typical High $26.30 | Facility | None | $5.75 | $17.38 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $4.90 Typical High $11.75 | Professional | None | $3.89 | $4.90 | $11.75 |
Lucent Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $3.89 Median $6.03 Typical High $8.91 | Professional | None | $3.89 | $6.03 | $8.91 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $3.63 Median $8.71 Typical High $13.49 | Professional | QW · Waived lab test | $3.63 | $8.71 | $13.49 |
Where Tennessee sits
The same service costs 15.8 times more in Minnesota than in Alabama. 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.
Tennessee· 31st of 51
$8.32
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.