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 $3.89 Median $4.47 Typical High $13.18 | Facility | None | $3.89 | $4.47 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.07 Typical High $6.03 | Professional | None | $3.80 | $4.07 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $2.04 Median $2.40 Typical High $3.16 | Professional | None | $2.04 | $2.40 | $3.16 |
AvMed Setting Facility Modifier None Typical Low $3.80 Median $4.79 Typical High $5.75 | Facility | None | $3.80 | $4.79 | $5.75 |
AvMed Setting Professional Modifier None Typical Low $3.80 Median $4.79 Typical High $6.92 | Professional | None | $3.80 | $4.79 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $5.89 Typical High $19.50 | Facility | None | $3.31 | $5.89 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $5.01 Typical High $9.77 | Professional | None | $2.95 | $5.01 | $9.77 |
Florida Blue Setting Facility Modifier None Typical Low $4.90 Median $8.71 Typical High $26.30 | Facility | None | $4.90 | $8.71 | $26.30 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | QW · Waived lab test | $8.71 | $8.71 | $8.71 |
Florida Blue Setting Professional Modifier None Typical Low $3.31 Median $6.61 Typical High $6.61 | Professional | None | $3.31 | $6.61 | $6.61 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $2.82 Median $2.82 Typical High $4.79 | Professional | QW · Waived lab test | $2.82 | $2.82 | $4.79 |
Molina Setting Professional Modifier None Typical Low $2.29 Median $2.82 Typical High $3.31 | Professional | None | $2.29 | $2.82 | $3.31 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.98 Typical High $54.95 | Professional | None | $2.14 | $3.98 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
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 $1.95 Median $2.04 Typical High $2.19 | Professional | 52 · Reduced service | $1.95 | $2.04 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.81 Typical High $0.87 | Professional | 53 · Discontinued | $0.78 | $0.81 | $0.87 |
Where Florida sits
The same service costs 12.9 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· 33rd of 51
$4.79
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.