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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $10.47 Typical High $11.75 | Professional | None | $6.76 | $10.47 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $26.92 | Facility | None | $8.32 | $8.32 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $85.11 | Professional | None | $7.76 | $14.45 | $85.11 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $17.78 | Professional | None | $5.37 | $7.59 | $17.78 |
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 Facility Modifier 91 · Repeat lab test Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 91 · Repeat lab test | $33.11 | $33.11 | $33.11 |
Where Delaware sits
The same service costs 4.7 times more in Kansas than in Nebraska. 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· 45th of 51
$10.00
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.