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 $7.76 Median $16.98 Typical High $24.55 | Facility | None | $7.76 | $16.98 | $24.55 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $3.63 Median $7.41 Typical High $10.72 | Facility | 52 · Reduced service | $3.63 | $7.41 | $10.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.48 Median $2.95 Typical High $4.27 | Facility | 53 · Discontinued | $1.48 | $2.95 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.17 Typical High $38.02 | Professional | None | $5.75 | $6.17 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.63 Typical High $24.55 | Professional | 52 · Reduced service | $3.09 | $3.63 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.48 Typical High $9.77 | Professional | 53 · Discontinued | $1.23 | $1.48 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $9.12 Typical High $14.45 | Facility | None | $6.31 | $9.12 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $6.03 | Professional | None | $3.09 | $3.09 | $6.03 |
Aultcare Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $8.91 | Facility | None | $5.01 | $5.01 | $8.91 |
CareSource Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $10.47 | Professional | None | $5.01 | $7.76 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $8.32 Typical High $16.98 | Facility | None | $5.13 | $8.32 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $3.63 Typical High $10.00 | Professional | None | $3.31 | $3.63 | $10.00 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $5.75 Median $9.55 Typical High $44.67 | Facility | None | $5.75 | $9.55 | $44.67 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3.31 Median $3.63 Typical High $8.71 | Professional | None | $3.31 | $3.63 | $8.71 |
Molina Setting Professional Modifier None Typical Low $4.27 Median $5.89 Typical High $9.33 | Professional | None | $4.27 | $5.89 | $9.33 |
SummaCare Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $9.33 | Professional | None | $5.01 | $6.61 | $9.33 |
United Setting Facility Modifier None Typical Low $2.82 Median $7.08 Typical High $11.75 | Facility | None | $2.82 | $7.08 | $11.75 |
United Setting Professional Modifier None Typical Low $3.09 Median $4.57 Typical High $10.72 | Professional | None | $3.09 | $4.57 | $10.72 |
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 $5.37 Median $9.77 Typical High $12.30 | Professional | QW · Waived lab test | $5.37 | $9.77 | $12.30 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $5.01 Median $6.61 Typical High $9.33 | Professional | QW · Waived lab test | $5.01 | $6.61 | $9.33 |
Where Ohio sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 39th of 51
$6.03
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.