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 $9.55 Median $10.72 Typical High $27.54 | Facility | None | $9.55 | $10.72 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.55 Typical High $11.22 | Professional | None | $9.33 | $9.55 | $11.22 |
CareSource Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
CareSource Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | None | $11.75 | $11.75 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $25.12 Typical High $35.48 | Facility | None | $11.48 | $25.12 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $20.89 Typical High $79.43 | Professional | None | $5.37 | $20.89 | $79.43 |
Highmark BCBS Setting Facility Modifier None Typical Low $29.51 Median $58.88 Typical High $128.82 | Facility | None | $29.51 | $58.88 | $128.82 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.24 Typical High $31.62 | Professional | None | $5.25 | $7.24 | $31.62 |
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 $8.91 Median $8.91 Typical High $8.91 | Professional | 90 · Outside lab | $8.91 | $8.91 | $8.91 |
Where West Virginia sits
The same service costs 4.5 times more in Alaska 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· 31st of 51
$11.48
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.