How much rates vary
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 $10.72 Median $11.22 Typical High $38.90 | Facility | None | $10.72 | $11.22 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $12.02 | Professional | None | $9.77 | $10.72 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.37 Typical High $5.62 | Professional | 52 · Reduced service | $5.13 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.14 Typical High $2.24 | Professional | 53 · Discontinued | $2.04 | $2.14 | $2.24 |
Capital Blue Cross Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $5,011.87 | Facility | None | $50.12 | $64.57 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $11.22 | Professional | None | $10.23 | $10.23 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.95 Typical High $39.81 | Facility | None | $9.12 | $19.95 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $32.36 | Professional | None | $8.32 | $14.79 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $19.05 | Professional | None | $6.17 | $6.17 | $19.05 |
Geisinger Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Geisinger Setting Professional Modifier None Typical Low $9.12 Median $11.22 Typical High $19.95 | Professional | None | $9.12 | $11.22 | $19.95 |
Martin's Point Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $44.67 | Facility | None | $10.72 | $10.72 | $44.67 |
Martin's Point Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $12.02 | Professional | None | $10.47 | $10.72 | $12.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.37 Typical High $5.62 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.24 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $13.18 Median $32.36 Typical High $60.26 | Facility | None | $13.18 | $32.36 | $60.26 |
UPMC Health Plan Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $13.18 | Professional | None | $11.48 | $13.18 | $13.18 |
United Setting Facility Modifier None Typical Low $11.75 Median $13.18 Typical High $15.85 | Facility | None | $11.75 | $13.18 | $15.85 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.51 Typical High $19.95 | Professional | None | $5.50 | $8.51 | $19.95 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 91 · Repeat lab test | $51.29 | $51.29 | $51.29 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in Delaware. 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.
Pennsylvania· 36th of 51
$11.22
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.