How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.45 Typical High $20.89 | Professional | None | $14.13 | $14.45 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | None | $17.78 | $17.78 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $34.67 Typical High $53.70 | Facility | None | $17.38 | $34.67 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $19.95 Typical High $109.65 | Professional | None | $16.22 | $19.95 | $109.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $38.02 Median $100.00 Typical High $158.49 | Facility | None | $38.02 | $100.00 | $158.49 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $47.86 | Professional | None | $7.94 | $10.96 | $47.86 |
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 $13.49 Median $13.49 Typical High $13.49 | Professional | 90 · Outside lab | $13.49 | $13.49 | $13.49 |
Where West Virginia sits
The same service costs 3.7 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.
West Virginia· 43rd of 51
$16.22
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.