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 $18.20 Median $19.95 Typical High $44.67 | Facility | None | $18.20 | $19.95 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $25.70 | Professional | None | $17.78 | $18.20 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
CareSource Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | None | $21.88 | $21.88 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $42.66 Typical High $66.07 | Facility | None | $21.38 | $42.66 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $38.90 Typical High $117.49 | Professional | None | $10.00 | $38.90 | $117.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.95 Median $83.18 Typical High $162.18 | Facility | None | $19.95 | $83.18 | $162.18 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
United Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $52.48 | Professional | None | $10.00 | $13.49 | $52.48 |
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 $16.60 Median $16.60 Typical High $16.60 | Professional | 90 · Outside lab | $16.60 | $16.60 | $16.60 |
Where West Virginia sits
The same service costs 13.5 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· 37th of 51
$19.95
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.