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 $4.27 Median $5.37 Typical High $13.80 | Facility | None | $4.27 | $5.37 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $7.24 | Professional | None | $4.07 | $4.79 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $9.33 | Facility | None | $3.39 | $3.39 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $5.75 Typical High $36.31 | Professional | None | $3.16 | $5.75 | $36.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.72 Median $25.12 Typical High $77.62 | Facility | None | $10.72 | $25.12 | $77.62 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $7.24 | Professional | None | $2.19 | $3.09 | $7.24 |
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 $3.89 Median $3.89 Typical High $3.89 | Professional | QW · Waived lab test | $3.89 | $3.89 | $3.89 |
Where Delaware sits
The same service costs 8.1 times more in Vermont than in Maryland. 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· 19th 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.