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 $3.55 Median $4.47 Typical High $10.47 | Facility | None | $3.55 | $4.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.47 Typical High $6.31 | Professional | None | $3.39 | $4.47 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $7.41 | Facility | None | $2.82 | $2.82 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $28.18 | Professional | None | $2.82 | $5.01 | $28.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.27 Median $28.84 Typical High $79.43 | Facility | None | $4.27 | $28.84 | $79.43 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $5.50 | Professional | None | $2.51 | $3.63 | $5.50 |
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 QW · Waived lab test Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | QW · Waived lab test | $3.24 | $3.24 | $3.24 |
Where Delaware sits
The same service costs 14.8 times more in Minnesota 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· 31st of 51
$4.47
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.