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 $2.04 Median $2.34 Typical High $5.50 | Facility | None | $2.04 | $2.34 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $2.09 Typical High $3.47 | Professional | None | $1.82 | $2.09 | $3.47 |
Ambetter Setting Professional Modifier None Typical Low $1.20 Median $1.45 Typical High $1.62 | Professional | None | $1.20 | $1.45 | $1.62 |
AvMed Setting Facility Modifier None Typical Low $1.91 Median $2.34 Typical High $2.88 | Facility | None | $1.91 | $2.34 | $2.88 |
AvMed Setting Professional Modifier None Typical Low $1.20 Median $2.34 Typical High $3.47 | Professional | None | $1.20 | $2.34 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $1.66 Median $2.88 Typical High $9.12 | Facility | None | $1.66 | $2.88 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $2.34 Typical High $4.57 | Professional | None | $1.51 | $2.34 | $4.57 |
Florida Blue Setting Facility Modifier None Typical Low $2.45 Median $4.37 Typical High $15.49 | Facility | None | $2.45 | $4.37 | $15.49 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | QW · Waived lab test | $4.37 | $4.37 | $4.37 |
Florida Blue Setting Professional Modifier None Typical Low $1.62 Median $3.31 Typical High $3.31 | Professional | None | $1.62 | $3.31 | $3.31 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $1.41 Median $1.41 Typical High $2.34 | Professional | QW · Waived lab test | $1.41 | $1.41 | $2.34 |
Molina Setting Professional Modifier None Typical Low $1.15 Median $1.41 Typical High $1.66 | Professional | None | $1.15 | $1.41 | $1.66 |
United Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $7.59 | Facility | None | $2.34 | $2.34 | $7.59 |
United Setting Professional Modifier None Typical Low $1.07 Median $2.00 Typical High $54.95 | Professional | None | $1.07 | $2.00 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
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 $0.95 Median $1.02 Typical High $1.10 | Professional | 52 · Reduced service | $0.95 | $1.02 | $1.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.38 Median $0.41 Typical High $0.44 | Professional | 53 · Discontinued | $0.38 | $0.41 | $0.44 |
Where Florida sits
The same service costs 17.0 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· 38th of 51
$2.34
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.