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 $3.55 Median $5.13 Typical High $11.75 | Facility | None | $3.55 | $5.13 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.07 Typical High $7.59 | Professional | None | $3.55 | $4.07 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $2.45 Median $2.88 Typical High $2.88 | Professional | None | $2.45 | $2.88 | $2.88 |
AvMed Setting Facility Modifier None Typical Low $4.68 Median $5.75 Typical High $7.08 | Facility | None | $4.68 | $5.75 | $7.08 |
AvMed Setting Professional Modifier None Typical Low $2.88 Median $5.75 Typical High $8.32 | Professional | None | $2.88 | $5.75 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $5.25 Typical High $23.44 | Facility | None | $3.55 | $5.25 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.37 Typical High $10.47 | Professional | None | $2.82 | $5.37 | $10.47 |
Florida Blue Setting Facility Modifier None Typical Low $4.47 Median $10.72 Typical High $28.18 | Facility | None | $4.47 | $10.72 | $28.18 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | QW · Waived lab test | $10.72 | $10.72 | $10.72 |
Florida Blue Setting Professional Modifier None Typical Low $2.95 Median $6.03 Typical High $6.03 | Professional | None | $2.95 | $6.03 | $6.03 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $3.47 Median $3.47 Typical High $5.25 | Professional | QW · Waived lab test | $3.47 | $3.47 | $5.25 |
Molina Setting Professional Modifier None Typical Low $2.82 Median $3.47 Typical High $4.07 | Professional | None | $2.82 | $3.47 | $4.07 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $12.02 | Facility | None | $5.75 | $5.75 | $12.02 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.55 Typical High $54.95 | Professional | None | $2.63 | $3.55 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
2 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $2.00 Typical High $2.45 | Professional | 52 · Reduced service | $1.78 | $2.00 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.79 Typical High $1.00 | Professional | 53 · Discontinued | $0.71 | $0.79 | $1.00 |
Where Florida sits
The same service costs 7.9 times more in Minnesota than in New York. 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.
Florida· 36th of 51
$5.25
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.