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 $12.59 Median $14.13 Typical High $36.31 | Facility | None | $12.59 | $14.13 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.59 Typical High $14.79 | Professional | None | $12.30 | $12.59 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $18.62 | Professional | None | $15.49 | $15.49 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $33.11 Typical High $46.77 | Facility | None | $15.14 | $33.11 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $27.54 Typical High $102.33 | Professional | None | $7.08 | $27.54 | $102.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $114.82 | Facility | None | $38.02 | $64.57 | $114.82 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $41.69 | Professional | None | $6.92 | $9.55 | $41.69 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | 90 · Outside lab | $11.75 | $11.75 | $11.75 |
Where West Virginia sits
The same service costs 4.2 times more in Kansas 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· 28th of 51
$15.49
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.