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 $3.55 Median $4.47 Typical High $10.96 | Facility | None | $3.55 | $4.47 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.47 Typical High $6.31 | Professional | None | $3.39 | $4.47 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $7.24 | Facility | None | $2.75 | $2.75 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $5.01 Typical High $30.20 | Professional | None | $2.63 | $5.01 | $30.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $2.51 Median $11.48 Typical High $29.51 | Facility | None | $2.51 | $11.48 | $29.51 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.57 Typical High $6.03 | Professional | None | $1.78 | $2.57 | $6.03 |
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 33 · Preventive service + QW · Waived lab test Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 33 · Preventive service + QW · Waived lab test | $3.24 | $3.24 | $3.24 |
Where Delaware sits
The same service costs 15.1 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.
Delaware· 29th of 51
$4.47
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.