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 $3.16 Median $3.39 Typical High $8.51 | Facility | None | $3.16 | $3.39 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.16 Typical High $4.79 | Professional | None | $2.95 | $3.16 | $4.79 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $2.19 Typical High $2.45 | Professional | None | $1.82 | $2.19 | $2.45 |
AvMed Setting Facility Modifier None Typical Low $2.95 Median $3.63 Typical High $4.47 | Facility | None | $2.95 | $3.63 | $4.47 |
AvMed Setting Professional Modifier None Typical Low $2.95 Median $3.63 Typical High $5.37 | Professional | None | $2.95 | $3.63 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $4.47 Typical High $14.45 | Facility | None | $2.57 | $4.47 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $3.89 Typical High $7.08 | Professional | None | $1.95 | $3.89 | $7.08 |
Florida Blue Setting Facility Modifier None Typical Low $3.80 Median $6.76 Typical High $23.99 | Facility | None | $3.80 | $6.76 | $23.99 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | QW · Waived lab test | $6.76 | $6.76 | $6.76 |
Florida Blue Setting Professional Modifier None Typical Low $2.51 Median $5.13 Typical High $5.13 | Professional | None | $2.51 | $5.13 | $5.13 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $2.19 Median $2.19 Typical High $3.63 | Professional | QW · Waived lab test | $2.19 | $2.19 | $3.63 |
Molina Setting Professional Modifier None Typical Low $1.78 Median $2.19 Typical High $2.57 | Professional | None | $1.78 | $2.19 | $2.57 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $10.47 | Facility | None | $3.63 | $3.63 | $10.47 |
United Setting Professional Modifier None Typical Low $1.55 Median $2.19 Typical High $54.95 | Professional | None | $1.55 | $2.19 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
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 $1.48 Median $1.58 Typical High $1.70 | Professional | 52 · Reduced service | $1.48 | $1.58 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.63 Typical High $0.68 | Professional | 53 · Discontinued | $0.59 | $0.63 | $0.68 |
Where Florida sits
The same service costs 10.2 times more in Vermont than in Maryland. 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· 34th of 51
$3.63
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.