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 $5.89 Median $7.24 Typical High $16.60 | Facility | None | $5.89 | $7.24 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.61 Typical High $9.12 | Professional | None | $5.89 | $6.61 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $5.01 Typical High $5.01 | Professional | None | $4.90 | $5.01 | $5.01 |
AvMed Setting Facility Modifier None Typical Low $6.46 Median $8.13 Typical High $10.00 | Facility | None | $6.46 | $8.13 | $10.00 |
AvMed Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $10.47 | Professional | None | $6.61 | $8.13 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $10.00 Typical High $33.11 | Facility | None | $5.75 | $10.00 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $8.51 Typical High $16.22 | Professional | None | $4.37 | $8.51 | $16.22 |
Florida Blue Setting Facility Modifier None Typical Low $7.41 Median $15.14 Typical High $45.71 | Facility | None | $7.41 | $15.14 | $45.71 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | QW · Waived lab test | $15.14 | $15.14 | $15.14 |
Florida Blue Setting Professional Modifier None Typical Low $4.90 Median $10.00 Typical High $10.00 | Professional | None | $4.90 | $10.00 | $10.00 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $4.90 Median $4.90 Typical High $8.13 | Professional | QW · Waived lab test | $4.90 | $4.90 | $8.13 |
Molina Setting Professional Modifier None Typical Low $3.89 Median $4.90 Typical High $5.75 | Professional | None | $3.89 | $4.90 | $5.75 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $31.62 | Facility | None | $8.13 | $8.13 | $31.62 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.31 Typical High $54.95 | Professional | None | $3.72 | $6.31 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.31 Typical High $3.80 | Professional | 52 · Reduced service | $2.95 | $3.31 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.32 Typical High $1.51 | Professional | 53 · Discontinued | $1.17 | $1.32 | $1.51 |
Where Florida sits
The same service costs 7.1 times more in Minnesota than in Maryland. 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· 38th of 51
$7.94
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.