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 $3.39 Median $3.98 Typical High $40.74 | Facility | None | $3.39 | $3.98 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $6.61 | Professional | None | $3.24 | $3.63 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.63 | Professional | None | $2.14 | $2.14 | $2.63 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.82 Median $2.14 Typical High $2.14 | Professional | QW · Waived lab test | $1.82 | $2.14 | $2.14 |
AvMed Setting Facility Modifier None Typical Low $3.39 Median $4.27 Typical High $5.25 | Facility | None | $3.39 | $4.27 | $5.25 |
AvMed Setting Professional Modifier None Typical Low $2.14 Median $4.27 Typical High $6.17 | Professional | None | $2.14 | $4.27 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $4.79 Typical High $16.98 | Facility | None | $2.95 | $4.79 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $3.98 Typical High $6.76 | Professional | None | $2.57 | $3.98 | $6.76 |
Florida Blue Setting Facility Modifier None Typical Low $4.07 Median $7.94 Typical High $25.70 | Facility | None | $4.07 | $7.94 | $25.70 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | QW · Waived lab test | $7.94 | $7.94 | $7.94 |
Florida Blue Setting Professional Modifier None Typical Low $2.75 Median $5.50 Typical High $5.50 | Professional | None | $2.75 | $5.50 | $5.50 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $2.57 Median $2.57 Typical High $4.27 | Professional | QW · Waived lab test | $2.57 | $2.57 | $4.27 |
Molina Setting Professional Modifier None Typical Low $2.04 Median $2.57 Typical High $3.02 | Professional | None | $2.04 | $2.57 | $3.02 |
United Setting Facility Modifier None Typical Low $1.26 Median $4.27 Typical High $10.47 | Facility | None | $1.26 | $4.27 | $10.47 |
United Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $54.95 | Professional | None | $1.95 | $3.31 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
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 $1.62 Median $1.70 Typical High $1.86 | Professional | 52 · Reduced service | $1.62 | $1.70 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.68 Typical High $0.76 | Professional | 53 · Discontinued | $0.65 | $0.68 | $0.76 |
Where Florida 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.
Florida· 44th of 51
$4.07
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.