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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $15.85 | Professional | None | $13.49 | $13.80 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | None | $16.60 | $16.60 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $32.36 Typical High $50.12 | Facility | None | $16.22 | $32.36 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $29.51 Typical High $109.65 | Professional | None | $7.59 | $29.51 | $109.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $38.02 Median $81.28 Typical High $173.78 | Facility | None | $38.02 | $81.28 | $173.78 |
United Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $45.71 | Professional | None | $7.59 | $10.23 | $45.71 |
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 90 · Outside lab Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 90 · Outside lab | $12.59 | $12.59 | $12.59 |
Where West Virginia sits
The same service costs 4.3 times more in Alaska than in New Jersey. 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.
West Virginia· 31st of 51
$15.85
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.