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 $245.47 Median $457.09 Typical High $851.14 | Facility | None | $245.47 | $457.09 | $851.14 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $123.03 Median $234.42 Typical High $426.58 | Facility | 52 · Reduced service | $123.03 | $234.42 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $95.50 Typical High $173.78 | Facility | 53 · Discontinued | $50.12 | $95.50 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $630.96 | Professional | None | $208.93 | $208.93 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $316.23 | Professional | 52 · Reduced service | $104.71 | $104.71 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $125.89 | Professional | 53 · Discontinued | $41.69 | $41.69 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $138.04 | Professional | None | $97.72 | $97.72 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $478.63 | Facility | None | $213.80 | $302.00 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $223.87 | Professional | None | $104.71 | $104.71 | $223.87 |
CareSource Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $354.81 | Professional | None | $263.03 | $263.03 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $1,071.52 | Facility | None | $257.04 | $316.23 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $380.19 | Professional | None | $120.23 | $125.89 | $380.19 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $177.83 Median $309.03 Typical High $1,071.52 | Facility | None | $177.83 | $309.03 | $1,071.52 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $363.08 | Professional | None | $120.23 | $125.89 | $363.08 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $218.78 Typical High $323.59 | Professional | None | $50.12 | $218.78 | $323.59 |
SummaCare Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $407.38 | Professional | None | $223.87 | $323.59 | $407.38 |
United Setting Facility Modifier None Typical Low $95.50 Median $234.42 Typical High $398.11 | Facility | None | $95.50 | $234.42 | $398.11 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $380.19 | Professional | None | $109.65 | $158.49 | $380.19 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $269.15 Median $331.13 Typical High $501.19 | Professional | QW · Waived lab test | $269.15 | $331.13 | $501.19 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $223.87 Median $323.59 Typical High $416.87 | Professional | QW · Waived lab test | $223.87 | $323.59 | $416.87 |
Where Ohio 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.
Ohio· 45th of 51
$195
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.