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 $81.28 Median $91.20 Typical High $91.20 | Facility | None | $81.28 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | None | $72.44 | $81.28 | $81.28 |
CareSource Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
CareSource Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | None | $100.00 | $100.00 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $194.98 Typical High $302.00 | Facility | None | $97.72 | $194.98 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $144.54 Typical High $478.63 | Professional | None | $42.66 | $144.54 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $102.33 Median $208.93 Typical High $501.19 | Facility | None | $102.33 | $208.93 | $501.19 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $162.18 | Professional | None | $36.31 | $44.67 | $162.18 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | 90 · Outside lab | $75.86 | $75.86 | $75.86 |
Where West Virginia sits
The same service costs 5.0 times more in Alaska than in Alabama. 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· 27th of 51
$81.28
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.