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 $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $5.37 Typical High $5.89 | Professional | None | $3.47 | $5.37 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $12.30 | Facility | None | $4.17 | $4.17 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $7.41 Typical High $57.54 | Professional | None | $4.57 | $7.41 | $57.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.89 Typical High $9.12 | Professional | None | $2.69 | $3.89 | $9.12 |
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 Facility Modifier 91 · Repeat lab test Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | 91 · Repeat lab test | $16.22 | $16.22 | $16.22 |
Where Delaware sits
The same service costs 3.0 times more in Alaska 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.
Delaware· 43rd of 51
$5.37
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.