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 $4.90 Median $5.37 Typical High $8.32 | Facility | None | $4.90 | $5.37 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.90 Typical High $7.08 | Professional | None | $4.79 | $4.90 | $7.08 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
CareSource Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.24 | Professional | None | $6.03 | $6.03 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $12.02 Typical High $18.20 | Facility | None | $5.89 | $12.02 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $10.72 Typical High $39.81 | Professional | None | $2.69 | $10.72 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $26.92 Median $44.67 Typical High $109.65 | Facility | None | $26.92 | $44.67 | $109.65 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.72 Typical High $16.22 | Professional | None | $2.69 | $3.72 | $16.22 |
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 90 · Outside lab Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 90 · Outside lab | $4.47 | $4.47 | $4.47 |
Where West Virginia sits
The same service costs 14.5 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.
West Virginia· 22nd of 51
$7.08
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.