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 $12.30 | Facility | None | $4.27 | $5.37 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $5.37 Typical High $7.08 | Professional | None | $4.07 | $5.37 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $9.33 | Facility | None | $3.31 | $3.31 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $5.75 Typical High $33.88 | Professional | None | $3.16 | $5.75 | $33.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $11.75 Median $13.49 Typical High $33.88 | Facility | None | $11.75 | $13.49 | $33.88 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $7.08 | Professional | None | $2.14 | $3.09 | $7.08 |
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 33 · Preventive service + QW · Waived lab test Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 33 · Preventive service + QW · Waived lab test | $3.80 | $3.80 | $3.80 |
Where Delaware sits
The same service costs 9.5 times more in Minnesota 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.
Delaware· 31st of 51
$5.37
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.