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 $6.61 Median $7.24 Typical High $48.98 | Facility | None | $6.61 | $7.24 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.61 Typical High $7.59 | Professional | None | $6.46 | $6.61 | $7.59 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | None | $8.13 | $8.13 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.38 Typical High $23.99 | Facility | None | $7.94 | $17.38 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $14.45 Typical High $53.70 | Professional | None | $3.72 | $14.45 | $53.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $117.49 | Facility | None | $36.31 | $58.88 | $117.49 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.01 Typical High $21.88 | Professional | None | $3.63 | $5.01 | $21.88 |
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 $6.03 Median $6.03 Typical High $6.03 | Professional | 90 · Outside lab | $6.03 | $6.03 | $6.03 |
Where West Virginia sits
The same service costs 5.6 times more in Vermont 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· 39th of 51
$7.24
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.