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 $11.75 Median $13.80 Typical High $32.36 | Facility | None | $11.75 | $13.80 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $16.22 | Professional | None | $10.23 | $11.75 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.32 Typical High $9.55 | Professional | None | $8.13 | $8.32 | $9.55 |
AvMed Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $16.60 | Facility | None | $10.96 | $13.80 | $16.60 |
AvMed Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $19.05 | Professional | None | $10.96 | $13.80 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $16.98 Typical High $54.95 | Facility | None | $9.55 | $16.98 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $14.13 Typical High $26.92 | Professional | None | $7.24 | $14.13 | $26.92 |
Florida Blue Setting Facility Modifier None Typical Low $14.13 Median $25.12 Typical High $91.20 | Facility | None | $14.13 | $25.12 | $91.20 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | QW · Waived lab test | $25.12 | $25.12 | $25.12 |
Florida Blue Setting Professional Modifier None Typical Low $9.55 Median $19.05 Typical High $19.05 | Professional | None | $9.55 | $19.05 | $19.05 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $8.13 Median $8.13 Typical High $13.80 | Professional | QW · Waived lab test | $8.13 | $8.13 | $13.80 |
Molina Setting Professional Modifier None Typical Low $1.62 Median $6.61 Typical High $9.55 | Professional | None | $1.62 | $6.61 | $9.55 |
United Setting Facility Modifier None Typical Low $4.79 Median $13.80 Typical High $36.31 | Facility | None | $4.79 | $13.80 | $36.31 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.13 Typical High $54.95 | Professional | None | $4.79 | $8.13 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
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 $5.50 Median $5.89 Typical High $6.31 | Professional | 52 · Reduced service | $5.50 | $5.89 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.34 Typical High $2.51 | Professional | 53 · Discontinued | $2.19 | $2.34 | $2.51 |
Where Florida sits
The same service costs 9.5 times more in Vermont than in Rhode Island. 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· 31st of 51
$13.49
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.