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 $6.76 Median $7.76 Typical High $61.66 | Facility | None | $6.76 | $7.76 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $13.49 | Professional | None | $6.03 | $7.24 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.89 Typical High $5.37 | Professional | None | $3.47 | $3.89 | $5.37 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $3.31 Median $3.89 Typical High $3.89 | Professional | QW · Waived lab test | $3.31 | $3.89 | $3.89 |
AvMed Setting Facility Modifier None Typical Low $6.17 Median $7.76 Typical High $9.55 | Facility | None | $6.17 | $7.76 | $9.55 |
AvMed Setting Professional Modifier None Typical Low $3.89 Median $7.76 Typical High $11.22 | Professional | None | $3.89 | $7.76 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $9.55 Typical High $31.62 | Facility | None | $5.37 | $9.55 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $7.94 Typical High $15.49 | Professional | None | $4.79 | $7.94 | $15.49 |
Florida Blue Setting Facility Modifier None Typical Low $7.94 Median $14.45 Typical High $51.29 | Facility | None | $7.94 | $14.45 | $51.29 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | QW · Waived lab test | $14.45 | $14.45 | $14.45 |
Florida Blue Setting Professional Modifier None Typical Low $5.37 Median $10.96 Typical High $10.96 | Professional | None | $5.37 | $10.96 | $10.96 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $4.68 Median $4.68 Typical High $7.76 | Professional | QW · Waived lab test | $4.68 | $4.68 | $7.76 |
Molina Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $5.50 | Professional | None | $3.72 | $4.68 | $5.50 |
United Setting Facility Modifier None Typical Low $2.63 Median $7.59 Typical High $7.76 | Facility | None | $2.63 | $7.59 | $7.76 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $54.95 | Professional | None | $3.24 | $4.68 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
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 $3.16 Median $3.39 Typical High $3.63 | Professional | 52 · Reduced service | $3.16 | $3.39 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.35 Typical High $1.45 | Professional | 53 · Discontinued | $1.26 | $1.35 | $1.45 |
Where Florida sits
The same service costs 13.5 times more in Minnesota than in North Carolina. 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· 31st of 51
$7.76
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.