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 $3.39 Median $3.89 Typical High $9.12 | Facility | None | $3.39 | $3.89 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.55 Typical High $6.03 | Professional | None | $3.16 | $3.55 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $1.66 Median $1.95 Typical High $2.63 | Professional | None | $1.66 | $1.95 | $2.63 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.66 Median $1.95 Typical High $3.89 | Professional | QW · Waived lab test | $1.66 | $1.95 | $3.89 |
AvMed Setting Facility Modifier None Typical Low $3.16 Median $3.89 Typical High $4.79 | Facility | None | $3.16 | $3.89 | $4.79 |
AvMed Setting Professional Modifier None Typical Low $1.95 Median $3.89 Typical High $5.75 | Professional | None | $1.95 | $3.89 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $4.79 Typical High $15.85 | Facility | None | $2.75 | $4.79 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $7.76 | Professional | None | $2.40 | $3.98 | $7.76 |
Florida Blue Setting Facility Modifier None Typical Low $4.07 Median $7.24 Typical High $25.70 | Facility | None | $4.07 | $7.24 | $25.70 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | QW · Waived lab test | $7.24 | $7.24 | $7.24 |
Florida Blue Setting Professional Modifier None Typical Low $2.69 Median $5.50 Typical High $5.50 | Professional | None | $2.69 | $5.50 | $5.50 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $2.34 Median $2.34 Typical High $3.89 | Professional | QW · Waived lab test | $2.34 | $2.34 | $3.89 |
Molina Setting Professional Modifier None Typical Low $1.91 Median $2.34 Typical High $2.75 | Professional | None | $1.91 | $2.34 | $2.75 |
United Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $10.47 | Facility | None | $3.89 | $3.89 | $10.47 |
United Setting Professional Modifier None Typical Low $1.78 Median $3.31 Typical High $54.95 | Professional | None | $1.78 | $3.31 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
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 $1.58 Median $1.70 Typical High $1.82 | Professional | 52 · Reduced service | $1.58 | $1.70 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.68 Typical High $0.72 | Professional | 53 · Discontinued | $0.65 | $0.68 | $0.72 |
Where Florida sits
The same service costs 12.6 times more in Vermont than in Washington, DC. 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· 35th of 51
$3.89
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.