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 $9.55 Median $11.48 Typical High $31.62 | Facility | None | $9.55 | $11.48 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $13.18 | Professional | None | $8.91 | $10.00 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.08 | Professional | None | $6.92 | $6.92 | $7.08 |
AvMed Setting Facility Modifier None Typical Low $9.12 Median $11.48 Typical High $14.13 | Facility | None | $9.12 | $11.48 | $14.13 |
AvMed Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $16.22 | Professional | None | $9.12 | $11.48 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $14.13 Typical High $46.77 | Facility | None | $8.13 | $14.13 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $22.91 | Professional | None | $7.08 | $11.75 | $22.91 |
Florida Blue Setting Facility Modifier None Typical Low $12.02 Median $21.38 Typical High $75.86 | Facility | None | $12.02 | $21.38 | $75.86 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | QW · Waived lab test | $21.38 | $21.38 | $21.38 |
Florida Blue Setting Professional Modifier None Typical Low $7.94 Median $16.22 Typical High $16.22 | Professional | None | $7.94 | $16.22 | $16.22 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $6.92 Median $6.92 Typical High $11.48 | Professional | QW · Waived lab test | $6.92 | $6.92 | $11.48 |
Molina Setting Professional Modifier None Typical Low $1.45 Median $5.75 Typical High $8.13 | Professional | None | $1.45 | $5.75 | $8.13 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $54.95 | Professional | None | $4.79 | $6.92 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
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 $4.68 Median $5.01 Typical High $5.37 | Professional | 52 · Reduced service | $4.68 | $5.01 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.00 Typical High $2.14 | Professional | 53 · Discontinued | $1.86 | $2.00 | $2.14 |
Where Florida sits
The same service costs 5.2 times more in Minnesota 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.
Florida· 31st of 51
$11.48
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.