How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4.79 Median $6.03 Typical High $15.49 | Facility | None | $4.79 | $6.03 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $5.37 Typical High $8.51 | Professional | None | $4.57 | $5.37 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $10.47 | Facility | None | $3.80 | $3.80 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $6.61 Typical High $52.48 | Professional | None | $3.47 | $6.61 | $52.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $38.90 | Facility | None | $5.75 | $5.75 | $38.90 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $8.13 | Professional | None | $2.45 | $3.47 | $8.13 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QW · Waived lab test Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | QW · Waived lab test | $4.37 | $4.37 | $4.37 |
Where Delaware sits
The same service costs 12.9 times more in Vermont than in Alabama. 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.
Delaware· 33rd of 51
$5.75
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.