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 $5.01 Median $5.01 Typical High $18.20 | Facility | None | $5.01 | $5.01 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.13 Typical High $7.59 | Professional | None | $4.90 | $5.13 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.45 Median $2.51 Typical High $2.63 | Professional | 52 · Reduced service | $2.45 | $2.51 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.00 Typical High $1.07 | Professional | 53 · Discontinued | $0.98 | $1.00 | $1.07 |
AmeriHealth Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.17 | Professional | None | $4.07 | $4.07 | $4.17 |
Capital Blue Cross Setting Facility Modifier None Typical Low $14.45 Median $18.62 Typical High $5,011.87 | Facility | None | $14.45 | $18.62 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.25 | Professional | None | $4.90 | $4.90 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $9.12 Typical High $18.62 | Facility | None | $4.17 | $9.12 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.75 Typical High $9.55 | Professional | None | $2.82 | $5.75 | $9.55 |
Emblem Health Setting Professional Modifier None Typical Low $0.51 Median $2.95 Typical High $9.12 | Professional | None | $0.51 | $2.95 | $9.12 |
Geisinger Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Geisinger Setting Professional Modifier None Typical Low $2.63 Median $3.72 Typical High $9.33 | Professional | None | $2.63 | $3.72 | $9.33 |
Independence Blue Cross Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.17 | Professional | None | $4.07 | $4.07 | $4.17 |
Martin's Point Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $21.38 | Facility | None | $5.01 | $5.01 | $21.38 |
Martin's Point Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $6.03 | Professional | None | $5.01 | $5.01 | $6.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $2.63 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.63 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.07 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.75 Median $15.85 Typical High $27.54 | Facility | None | $5.75 | $15.85 | $27.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
United Setting Facility Modifier None Typical Low $5.62 Median $6.17 Typical High $7.41 | Facility | None | $5.62 | $6.17 | $7.41 |
United Setting Professional Modifier None Typical Low $2.63 Median $5.25 Typical High $7.41 | Professional | None | $2.63 | $5.25 | $7.41 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | QW · Waived lab test | $10.23 | $10.23 | $10.23 |
Where Pennsylvania 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.
Pennsylvania· 36th of 51
$5.25
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.