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 $22.91 Median $25.12 Typical High $64.57 | Facility | None | $22.91 | $25.12 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.91 Typical High $26.30 | Professional | None | $22.39 | $22.91 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | None | $28.18 | $28.18 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $54.95 Typical High $85.11 | Facility | None | $27.54 | $54.95 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $50.12 Typical High $186.21 | Professional | None | $12.88 | $50.12 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $17.38 Median $104.71 Typical High $194.98 | Facility | None | $17.38 | $104.71 | $194.98 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $75.86 | Professional | None | $12.59 | $17.38 | $75.86 |
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 $16.98 Median $20.89 Typical High $20.89 | Professional | 90 · Outside lab | $16.98 | $20.89 | $20.89 |
Where West Virginia sits
The same service costs 4.8 times more in Kansas than in Alabama. 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· 36th of 51
$25.12
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.