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 $1.45 Median $4.17 Typical High $6.46 | Facility | None | $1.45 | $4.17 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $1.45 Median $4.68 Typical High $7.59 | Professional | None | $1.45 | $4.68 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $5.13 | Professional | None | $2.88 | $2.88 | $5.13 |
AvMed Setting Facility Modifier None Typical Low $4.57 Median $5.75 Typical High $7.08 | Facility | None | $4.57 | $5.75 | $7.08 |
AvMed Setting Professional Modifier None Typical Low $2.57 Median $5.75 Typical High $6.92 | Professional | None | $2.57 | $5.75 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $7.08 Typical High $23.44 | Facility | None | $4.07 | $7.08 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $6.03 Typical High $11.75 | Professional | None | $3.09 | $6.03 | $11.75 |
Florida Blue Setting Facility Modifier None Typical Low $1.82 Median $10.72 Typical High $11.22 | Facility | None | $1.82 | $10.72 | $11.22 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | QW · Waived lab test | $10.72 | $10.72 | $10.72 |
Florida Blue Setting Professional Modifier None Typical Low $2.34 Median $2.45 Typical High $2.95 | Professional | None | $2.34 | $2.45 | $2.95 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $3.47 Median $3.47 Typical High $5.75 | Professional | QW · Waived lab test | $3.47 | $3.47 | $5.75 |
Molina Setting Professional Modifier None Typical Low $2.14 Median $2.63 Typical High $4.07 | Professional | None | $2.14 | $2.63 | $4.07 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $1.02 Median $3.47 Typical High $54.95 | Professional | None | $1.02 | $3.47 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
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 $0.72 Median $1.95 Typical High $2.69 | Professional | 52 · Reduced service | $0.72 | $1.95 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.78 Typical High $1.07 | Professional | 53 · Discontinued | $0.28 | $0.78 | $1.07 |
Where Florida 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.
Florida· 42nd of 51
$4.90
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.