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 $9.77 Median $10.96 Typical High $28.18 | Facility | None | $9.77 | $10.96 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.77 Typical High $14.13 | Professional | None | $9.55 | $9.77 | $14.13 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $30.20 Typical High $50.12 | Facility | None | $11.75 | $30.20 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $89.13 | Professional | None | $13.80 | $16.60 | $89.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $43.65 Median $75.86 Typical High $269.15 | Facility | None | $43.65 | $75.86 | $269.15 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $16.98 | Professional | None | $5.01 | $7.08 | $16.98 |
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 $9.12 Median $9.12 Typical High $9.12 | Professional | 90 · Outside lab | $9.12 | $9.12 | $9.12 |
Where West Virginia sits
The same service costs 7.6 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.
West Virginia· 31st of 51
$13.80
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.