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 $12.02 Typical High $18.62 | Facility | None | $5.89 | $12.02 | $18.62 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.95 Median $5.89 Typical High $9.33 | Facility | 52 · Reduced service | $2.95 | $5.89 | $9.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.17 Median $2.40 Typical High $3.72 | Facility | 53 · Discontinued | $1.17 | $2.40 | $3.72 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.89 Typical High $18.62 | Professional | None | $5.01 | $5.89 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.63 Typical High $9.77 | Professional | 52 · Reduced service | $2.51 | $2.63 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.05 Typical High $3.89 | Professional | 53 · Discontinued | $1.00 | $1.05 | $3.89 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $7.24 Typical High $11.48 | Facility | None | $5.01 | $7.24 | $11.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $2.57 Typical High $4.79 | Professional | None | $2.19 | $2.57 | $4.79 |
CareSource Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $7.08 | Facility | None | $3.72 | $3.72 | $7.08 |
CareSource Setting Professional Modifier None Typical Low $4.07 Median $6.17 Typical High $8.32 | Professional | None | $4.07 | $6.17 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $7.24 Typical High $25.70 | Facility | None | $4.07 | $7.24 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.07 Typical High $8.32 | Professional | None | $2.82 | $4.07 | $8.32 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $4.07 Median $7.24 Typical High $25.70 | Facility | None | $4.07 | $7.24 | $25.70 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $2.82 Median $3.31 Typical High $8.32 | Professional | None | $2.82 | $3.31 | $8.32 |
Molina Setting Professional Modifier None Typical Low $3.47 Median $4.68 Typical High $7.41 | Professional | None | $3.47 | $4.68 | $7.41 |
SummaCare Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $13.49 | Professional | None | $4.07 | $5.25 | $13.49 |
United Setting Facility Modifier None Typical Low $2.24 Median $5.62 Typical High $9.33 | Facility | None | $2.24 | $5.62 | $9.33 |
United Setting Professional Modifier None Typical Low $3.09 Median $5.37 Typical High $7.41 | Professional | None | $3.09 | $5.37 | $7.41 |
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 $4.27 Median $7.76 Typical High $10.00 | Professional | QW · Waived lab test | $4.27 | $7.76 | $10.00 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $4.07 Median $5.25 Typical High $7.41 | Professional | QW · Waived lab test | $4.07 | $5.25 | $7.41 |
Where Ohio sits
The same service costs 3.5 times more in Alaska 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.
Ohio· 43rd of 51
$5.01
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.