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 $158.49 Median $190.55 Typical High $426.58 | Facility | None | $158.49 | $190.55 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $223.87 | Professional | None | $138.04 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $85.11 Typical High $107.15 | Professional | 52 · Reduced service | $79.43 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.88 Typical High $42.66 | Professional | 53 · Discontinued | $31.62 | $33.88 | $42.66 |
AvMed Setting Facility Modifier None Typical Low $208.93 Median $263.03 Typical High $323.59 | Facility | None | $208.93 | $263.03 | $323.59 |
AvMed Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $263.03 | Professional | None | $208.93 | $263.03 | $263.03 |
AvMed Setting Professional Modifier QW · Waived lab test Typical Low $208.93 Median $234.42 Typical High $263.03 | Professional | QW · Waived lab test | $208.93 | $234.42 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $204.17 Typical High $1,071.52 | Facility | None | $134.90 | $204.17 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $457.09 | Professional | None | $123.03 | $177.83 | $457.09 |
Florida Blue Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | QW · Waived lab test | $489.78 | $489.78 | $489.78 |
Florida Blue Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $229.09 | Professional | None | $158.49 | $158.49 | $229.09 |
Molina Setting Professional Modifier None Typical Low $3.89 Median $15.49 Typical High $19.50 | Professional | None | $3.89 | $15.49 | $19.50 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $346.74 | Professional | None | $91.20 | $112.20 | $346.74 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
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 90 · Outside lab Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 90 · Outside lab | $131.83 | $131.83 | $131.83 |
Where Florida sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 49th of 51
$166
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.