How much rates vary
Facilitymedian $11 · 10th to 90th $7 to $29Professionalmedian $5 · 10th to 90th $4 to $13
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 $7.59 Median $19.05 Typical High $32.36 | Facility | None | $7.59 | $19.05 | $32.36 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $4.17 Median $9.77 Typical High $16.22 | Facility | 52 · Reduced service | $4.17 | $9.77 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.70 Median $3.89 Typical High $6.46 | Facility | 53 · Discontinued | $1.70 | $3.89 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $8.13 Typical High $58.88 | Professional | None | $7.08 | $8.13 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $4.17 Typical High $30.20 | Professional | 52 · Reduced service | $3.55 | $4.17 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.70 Typical High $12.02 | Professional | 53 · Discontinued | $1.41 | $1.70 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $10.23 Typical High $16.22 | Facility | None | $7.24 | $10.23 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $4.37 Typical High $7.94 | Professional | None | $3.55 | $4.37 | $7.94 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $10.23 | Facility | None | $6.92 | $6.92 | $10.23 |
CareSource Setting Professional Modifier None Typical Low $5.75 Median $8.91 Typical High $12.02 | Professional | None | $5.75 | $8.91 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $10.72 Typical High $29.51 | Facility | None | $5.89 | $10.72 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $12.30 | Professional | None | $4.47 | $5.62 | $12.30 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $5.75 Median $11.75 Typical High $33.88 | Facility | None | $5.75 | $11.75 | $33.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3.80 Median $4.79 Typical High $12.30 | Professional | None | $3.80 | $4.79 | $12.30 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $6.17 Typical High $10.72 | Professional | None | $4.90 | $6.17 | $10.72 |
SummaCare Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
SummaCare Setting Professional Modifier None Typical Low $5.75 Median $7.59 Typical High $17.78 | Professional | None | $5.75 | $7.59 | $17.78 |
United Setting Facility Modifier None Typical Low $3.24 Median $7.94 Typical High $13.49 | Facility | None | $3.24 | $7.94 | $13.49 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.50 Typical High $12.59 | Professional | None | $3.72 | $5.50 | $12.59 |
3 more rates 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | QW · Waived lab test | $13.80 | $13.80 | $13.80 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $6.17 Median $10.23 Typical High $12.88 | Professional | QW · Waived lab test | $6.17 | $10.23 | $12.88 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $5.75 Median $7.59 Typical High $10.72 | Professional | QW · Waived lab test | $5.75 | $7.59 | $10.72 |
Where Ohio sits
The same service costs 4.3 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.
Ohio· 47th of 51
$7.08
KS $28.18MD $6.61
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.