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 $2.95 Median $3.31 Typical High $9.77 | Facility | None | $2.95 | $3.31 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $3.09 Typical High $4.68 | Professional | None | $2.88 | $3.09 | $4.68 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.19 Typical High $2.19 | Professional | None | $2.14 | $2.19 | $2.19 |
AvMed Setting Facility Modifier None Typical Low $2.88 Median $3.55 Typical High $4.37 | Facility | None | $2.88 | $3.55 | $4.37 |
AvMed Setting Professional Modifier None Typical Low $2.88 Median $3.55 Typical High $5.25 | Professional | None | $2.88 | $3.55 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $4.37 Typical High $14.45 | Facility | None | $2.51 | $4.37 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $3.89 Typical High $7.08 | Professional | None | $1.91 | $3.89 | $7.08 |
Florida Blue Setting Facility Modifier None Typical Low $3.72 Median $6.61 Typical High $23.44 | Facility | None | $3.72 | $6.61 | $23.44 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | QW · Waived lab test | $6.61 | $6.61 | $6.61 |
Florida Blue Setting Professional Modifier None Typical Low $2.45 Median $5.01 Typical High $5.01 | Professional | None | $2.45 | $5.01 | $5.01 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $2.14 Median $2.14 Typical High $3.55 | Professional | QW · Waived lab test | $2.14 | $2.14 | $3.55 |
Molina Setting Professional Modifier None Typical Low $1.74 Median $2.14 Typical High $2.51 | Professional | None | $1.74 | $2.14 | $2.51 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
United Setting Professional Modifier None Typical Low $1.62 Median $3.02 Typical High $54.95 | Professional | None | $1.62 | $3.02 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
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 $1.45 Median $1.55 Typical High $1.66 | Professional | 52 · Reduced service | $1.45 | $1.55 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.62 Typical High $0.68 | Professional | 53 · Discontinued | $0.58 | $0.62 | $0.68 |
Where Florida sits
The same service costs 3.5 times more in Kansas than in Tennessee. 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
$3.55
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.