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 $15.14 Median $16.60 Typical High $25.70 | Facility | None | $15.14 | $16.60 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $15.14 Typical High $21.38 | Professional | None | $14.79 | $15.14 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | None | $18.20 | $18.20 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $35.48 Typical High $54.95 | Facility | None | $17.78 | $35.48 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $32.36 Typical High $120.23 | Professional | None | $8.32 | $32.36 | $120.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $194.98 | Facility | None | $50.12 | $93.33 | $194.98 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $50.12 | Professional | None | $8.32 | $11.22 | $50.12 |
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 $10.96 Median $13.80 Typical High $13.80 | Professional | 90 · Outside lab | $10.96 | $13.80 | $13.80 |
Where West Virginia sits
The same service costs 7.1 times more in Vermont than in Illinois. 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· 19th of 51
$21.38
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.