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 $4.07 Median $7.94 Typical High $13.80 | Facility | None | $4.07 | $7.94 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $8.91 | Professional | None | $4.07 | $4.07 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $12.02 | Professional | None | $9.55 | $9.55 | $12.02 |
Hally Health Setting Professional Modifier None Typical Low $5.13 Median $9.33 Typical High $26.92 | Professional | None | $5.13 | $9.33 | $26.92 |
Medica Setting Facility Modifier None Typical Low $6.17 Median $10.47 Typical High $45.71 | Facility | None | $6.17 | $10.47 | $45.71 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $7.24 Typical High $13.49 | Professional | None | $5.13 | $7.24 | $13.49 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $13.18 | Facility | None | $5.13 | $5.13 | $13.18 |
United Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $10.00 | Professional | None | $4.68 | $5.13 | $10.00 |
Wellmark Setting Professional Modifier None Typical Low $4.07 Median $5.13 Typical High $5.13 | Professional | None | $4.07 | $5.13 | $5.13 |
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 |
|---|---|---|---|---|---|
Midlands Setting Professional Modifier QW · Waived lab test Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | QW · Waived lab test | $6.92 | $6.92 | $6.92 |
Where Iowa sits
The same service costs 12.6 times more in Minnesota than in Washington, DC. 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.
Iowa· 14th of 51
$7.24
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.