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 $3.80 Median $4.27 Typical High $12.59 | Facility | None | $3.80 | $4.27 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.98 Typical High $5.50 | Professional | None | $3.72 | $3.98 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.09 | Professional | None | $2.29 | $2.29 | $3.09 |
AvMed Setting Facility Modifier None Typical Low $3.63 Median $4.57 Typical High $5.62 | Facility | None | $3.63 | $4.57 | $5.62 |
AvMed Setting Professional Modifier None Typical Low $3.72 Median $4.57 Typical High $6.76 | Professional | None | $3.72 | $4.57 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $5.62 Typical High $18.20 | Facility | None | $3.24 | $5.62 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $5.01 Typical High $9.12 | Professional | None | $2.45 | $5.01 | $9.12 |
Florida Blue Setting Facility Modifier None Typical Low $4.79 Median $8.51 Typical High $30.20 | Facility | None | $4.79 | $8.51 | $30.20 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | QW · Waived lab test | $8.51 | $8.51 | $8.51 |
Florida Blue Setting Professional Modifier None Typical Low $3.16 Median $6.46 Typical High $6.46 | Professional | None | $3.16 | $6.46 | $6.46 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $2.75 Median $2.75 Typical High $4.57 | Professional | QW · Waived lab test | $2.75 | $2.75 | $4.57 |
Molina Setting Professional Modifier None Typical Low $2.19 Median $2.75 Typical High $3.24 | Professional | None | $2.19 | $2.75 | $3.24 |
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.75 Typical High $54.95 | Professional | None | $1.95 | $2.75 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
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 $1.86 Median $2.00 Typical High $2.14 | Professional | 52 · Reduced service | $1.86 | $2.00 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.79 Typical High $0.85 | Professional | 53 · Discontinued | $0.76 | $0.79 | $0.85 |
Where Florida sits
The same service costs 4.4 times more in Minnesota 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· 31st of 51
$4.57
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.