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 $7.76 Median $8.91 Typical High $26.30 | Facility | None | $7.76 | $8.91 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.51 Typical High $12.02 | Professional | None | $7.76 | $8.51 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $10.47 | Professional | None | $4.47 | $4.47 | $10.47 |
AvMed Setting Facility Modifier None Typical Low $8.32 Median $10.47 Typical High $12.88 | Facility | None | $8.32 | $10.47 | $12.88 |
AvMed Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $13.80 | Professional | None | $8.32 | $10.47 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $11.75 Typical High $41.69 | Facility | None | $6.92 | $11.75 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $10.23 Typical High $18.62 | Professional | None | $5.37 | $10.23 | $18.62 |
Florida Blue Setting Facility Modifier None Typical Low $9.77 Median $19.50 Typical High $63.10 | Facility | None | $9.77 | $19.50 | $63.10 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | QW · Waived lab test | $19.50 | $19.50 | $19.50 |
Florida Blue Setting Professional Modifier None Typical Low $6.61 Median $13.18 Typical High $13.18 | Professional | None | $6.61 | $13.18 | $13.18 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $6.31 Median $6.31 Typical High $10.23 | Professional | QW · Waived lab test | $6.31 | $6.31 | $10.23 |
Molina Setting Professional Modifier None Typical Low $1.26 Median $5.01 Typical High $7.41 | Professional | None | $1.26 | $5.01 | $7.41 |
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 $3.72 Median $6.31 Typical High $54.95 | Professional | None | $3.72 | $6.31 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
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 $3.89 Median $4.17 Typical High $4.47 | Professional | 52 · Reduced service | $3.89 | $4.17 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.66 Typical High $1.78 | Professional | 53 · Discontinued | $1.58 | $1.66 | $1.78 |
Where Florida sits
The same service costs 5.6 times more in Minnesota than in New Jersey. 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
$9.77
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.