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 $18.62 Median $20.89 Typical High $20.89 | Facility | None | $18.62 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.05 Typical High $19.50 | Professional | None | $18.20 | $19.05 | $19.50 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | None | $22.91 | $22.91 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $44.67 Typical High $69.18 | Facility | None | $22.39 | $44.67 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $109.65 | Professional | None | $10.00 | $10.00 | $109.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $52.48 Median $93.33 Typical High $190.55 | Facility | None | $52.48 | $93.33 | $190.55 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $42.66 | Professional | None | $9.55 | $11.48 | $42.66 |
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 $13.80 Median $13.80 Typical High $17.38 | Professional | 90 · Outside lab | $13.80 | $13.80 | $17.38 |
Where West Virginia sits
The same service costs 9.8 times more in Vermont than in Kentucky. 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· 32nd of 51
$19.05
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.