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 $7.59 Median $8.32 Typical High $38.90 | Facility | None | $7.59 | $8.32 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.59 Typical High $10.96 | Professional | None | $7.41 | $7.59 | $10.96 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | None | $9.33 | $9.33 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $17.78 Typical High $28.18 | Facility | None | $9.12 | $17.78 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $16.22 Typical High $60.26 | Professional | None | $4.17 | $16.22 | $60.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $134.90 | Facility | None | $36.31 | $58.88 | $134.90 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $25.12 | Professional | None | $4.17 | $5.75 | $25.12 |
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 $5.62 Median $6.92 Typical High $6.92 | Professional | 90 · Outside lab | $5.62 | $6.92 | $6.92 |
Where West Virginia sits
The same service costs 12.9 times more in Vermont 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.
West Virginia· 20th of 51
$10.96
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.