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 $3.47 Median $3.89 Typical High $7.94 | Facility | None | $3.47 | $3.89 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.47 Typical High $5.01 | Professional | None | $3.39 | $3.47 | $5.01 |
CareSource Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
CareSource Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | None | $4.27 | $4.27 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $8.51 Typical High $12.88 | Facility | None | $4.17 | $8.51 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $7.41 Typical High $30.20 | Professional | None | $1.95 | $7.41 | $30.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $58.88 | Facility | None | $19.05 | $29.51 | $58.88 |
United Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.57 Typical High $9.33 | Professional | None | $1.91 | $2.57 | $9.33 |
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 $3.24 Median $3.24 Typical High $3.24 | Professional | 90 · Outside lab | $3.24 | $3.24 | $3.24 |
Where West Virginia sits
The same service costs 24.0 times more in Vermont than in Georgia. 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· 35th of 51
$4.27
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.