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 $12.02 Median $12.88 Typical High $31.62 | Facility | None | $12.02 | $12.88 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $16.98 | Professional | None | $10.72 | $12.02 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | None | $10.47 | $10.47 | $10.72 |
AvMed Setting Facility Modifier None Typical Low $13.80 Median $17.38 Typical High $20.89 | Facility | None | $13.80 | $17.38 | $20.89 |
AvMed Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $19.05 | Professional | None | $13.80 | $17.38 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $69.18 | Facility | None | $10.72 | $15.85 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $16.22 Typical High $30.90 | Professional | None | $8.51 | $16.22 | $30.90 |
Florida Blue Setting Facility Modifier None Typical Low $13.49 Median $31.62 Typical High $85.11 | Facility | None | $13.49 | $31.62 | $85.11 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | QW · Waived lab test | $31.62 | $31.62 | $31.62 |
Florida Blue Setting Professional Modifier None Typical Low $8.91 Median $18.20 Typical High $18.20 | Professional | None | $8.91 | $18.20 | $18.20 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $10.47 Median $10.47 Typical High $15.49 | Professional | QW · Waived lab test | $10.47 | $10.47 | $15.49 |
Molina Setting Professional Modifier None Typical Low $2.09 Median $8.32 Typical High $12.02 | Professional | None | $2.09 | $8.32 | $12.02 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.47 Typical High $54.95 | Professional | None | $6.31 | $10.47 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
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 $5.37 Median $6.03 Typical High $7.41 | Professional | 52 · Reduced service | $5.37 | $6.03 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.40 Typical High $2.95 | Professional | 53 · Discontinued | $2.14 | $2.40 | $2.95 |
Where Florida sits
The same service costs 20.4 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.
Florida· 39th of 51
$14.13
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.