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 $4.27 Median $4.79 Typical High $14.13 | Facility | None | $4.27 | $4.79 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.47 Typical High $6.92 | Professional | None | $3.98 | $4.47 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $3.47 | Professional | None | $2.57 | $3.09 | $3.47 |
AvMed Setting Facility Modifier None Typical Low $4.07 Median $5.13 Typical High $6.31 | Facility | None | $4.07 | $5.13 | $6.31 |
AvMed Setting Professional Modifier None Typical Low $4.17 Median $5.13 Typical High $7.59 | Professional | None | $4.17 | $5.13 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $6.31 Typical High $20.89 | Facility | None | $3.63 | $6.31 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $5.37 Typical High $10.47 | Professional | None | $2.75 | $5.37 | $10.47 |
Florida Blue Setting Facility Modifier None Typical Low $5.37 Median $9.55 Typical High $33.88 | Facility | None | $5.37 | $9.55 | $33.88 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | QW · Waived lab test | $9.55 | $9.55 | $9.55 |
Florida Blue Setting Professional Modifier None Typical Low $3.55 Median $7.24 Typical High $7.24 | Professional | None | $3.55 | $7.24 | $7.24 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $3.09 Median $3.09 Typical High $5.13 | Professional | QW · Waived lab test | $3.09 | $3.09 | $5.13 |
Molina Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $3.63 | Professional | None | $2.45 | $3.09 | $3.63 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $12.02 | Facility | None | $5.13 | $5.13 | $12.02 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.09 Typical High $54.95 | Professional | None | $2.09 | $3.09 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
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 $2.09 Median $2.24 Typical High $2.40 | Professional | 52 · Reduced service | $2.09 | $2.24 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.89 Typical High $0.95 | Professional | 53 · Discontinued | $0.83 | $0.89 | $0.95 |
Where Florida 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.
Florida· 33rd of 51
$5.13
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.