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 $6.46 Median $7.59 Typical High $33.88 | Facility | None | $6.46 | $7.59 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.46 Typical High $9.77 | Professional | None | $5.89 | $6.46 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $5.01 | Professional | None | $3.80 | $3.80 | $5.01 |
AvMed Setting Facility Modifier None Typical Low $6.03 Median $7.59 Typical High $9.12 | Facility | None | $6.03 | $7.59 | $9.12 |
AvMed Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $10.96 | Professional | None | $6.03 | $7.59 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $9.12 Typical High $30.20 | Facility | None | $5.25 | $9.12 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $7.76 Typical High $14.79 | Professional | None | $4.68 | $7.76 | $14.79 |
Florida Blue Setting Facility Modifier None Typical Low $7.76 Median $13.80 Typical High $50.12 | Facility | None | $7.76 | $13.80 | $50.12 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | QW · Waived lab test | $13.80 | $13.80 | $13.80 |
Florida Blue Setting Professional Modifier None Typical Low $5.25 Median $10.47 Typical High $10.47 | Professional | None | $5.25 | $10.47 | $10.47 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $4.47 Median $4.47 Typical High $7.59 | Professional | QW · Waived lab test | $4.47 | $4.47 | $7.59 |
Molina Setting Professional Modifier None Typical Low $3.63 Median $4.47 Typical High $5.25 | Professional | None | $3.63 | $4.47 | $5.25 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $7.59 | Facility | None | $2.45 | $2.45 | $7.59 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $54.95 | Professional | None | $3.16 | $4.47 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
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 $3.02 Median $3.24 Typical High $3.47 | Professional | 52 · Reduced service | $3.02 | $3.24 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.29 Typical High $1.41 | Professional | 53 · Discontinued | $1.23 | $1.29 | $1.41 |
Where Florida sits
The same service costs 21.4 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· 35th of 51
$7.59
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.