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 $14.13 Median $15.49 Typical High $30.20 | Facility | None | $14.13 | $15.49 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $15.49 | Professional | None | $13.80 | $14.13 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.89 | Professional | None | $17.38 | $17.38 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $33.88 Typical High $51.29 | Facility | None | $16.98 | $33.88 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $24.55 Typical High $87.10 | Professional | None | $7.24 | $24.55 | $87.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $46.77 Median $93.33 Typical High $194.98 | Facility | None | $46.77 | $93.33 | $194.98 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $7.59 Median $8.71 Typical High $35.48 | Professional | None | $7.59 | $8.71 | $35.48 |
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 $10.47 Median $12.88 Typical High $12.88 | Professional | 90 · Outside lab | $10.47 | $12.88 | $12.88 |
Where West Virginia 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.
West Virginia· 27th of 51
$17.38
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.