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 $3.80 Median $4.37 Typical High $9.55 | Facility | None | $3.80 | $4.37 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.98 Typical High $5.89 | Professional | None | $3.39 | $3.98 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $2.45 Median $2.95 Typical High $3.47 | Professional | None | $2.45 | $2.95 | $3.47 |
AvMed Setting Facility Modifier None Typical Low $3.98 Median $4.90 Typical High $6.03 | Facility | None | $3.98 | $4.90 | $6.03 |
AvMed Setting Professional Modifier None Typical Low $3.98 Median $4.90 Typical High $6.03 | Professional | None | $3.98 | $4.90 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $6.03 Typical High $19.50 | Facility | None | $3.47 | $6.03 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $5.37 Typical High $9.77 | Professional | None | $2.63 | $5.37 | $9.77 |
Florida Blue Setting Facility Modifier None Typical Low $4.27 Median $9.12 Typical High $26.30 | Facility | None | $4.27 | $9.12 | $26.30 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | QW · Waived lab test | $9.12 | $9.12 | $9.12 |
Florida Blue Setting Professional Modifier None Typical Low $2.82 Median $5.75 Typical High $5.75 | Professional | None | $2.82 | $5.75 | $5.75 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $2.95 Median $2.95 Typical High $4.90 | Professional | QW · Waived lab test | $2.95 | $2.95 | $4.90 |
Molina Setting Professional Modifier None Typical Low $2.40 Median $2.95 Typical High $3.47 | Professional | None | $2.40 | $2.95 | $3.47 |
United Setting Facility Modifier None Typical Low $1.38 Median $4.90 Typical High $10.47 | Facility | None | $1.38 | $4.90 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.95 Typical High $54.95 | Professional | None | $2.00 | $2.95 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
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 $1.70 Median $1.91 Typical High $2.29 | Professional | 52 · Reduced service | $1.70 | $1.91 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.76 Typical High $0.91 | Professional | 53 · Discontinued | $0.68 | $0.76 | $0.91 |
Where Florida sits
The same service costs 9.3 times more in Vermont 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· 39th of 51
$4.37
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.