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 $13.18 Median $30.90 Typical High $45.71 | Facility | None | $13.18 | $30.90 | $45.71 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.61 Median $15.14 Typical High $22.91 | Facility | 52 · Reduced service | $6.61 | $15.14 | $22.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $6.17 Typical High $9.12 | Facility | 53 · Discontinued | $2.63 | $6.17 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $50.12 | Professional | None | $11.22 | $13.18 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.61 Typical High $30.20 | Professional | 52 · Reduced service | $5.62 | $6.61 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.63 Typical High $12.30 | Professional | 53 · Discontinued | $2.24 | $2.63 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $16.22 Typical High $25.70 | Facility | None | $11.22 | $16.22 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $11.22 | Professional | None | $5.89 | $5.89 | $11.22 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $15.85 | Facility | None | $10.47 | $10.47 | $15.85 |
CareSource Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $16.60 Typical High $38.90 | Facility | None | $9.12 | $16.60 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $21.38 | Professional | None | $6.46 | $7.94 | $21.38 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $9.33 Median $18.20 Typical High $77.62 | Facility | None | $9.33 | $18.20 | $77.62 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $6.46 Median $7.76 Typical High $21.38 | Professional | None | $6.46 | $7.76 | $21.38 |
Molina Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $16.60 | Professional | None | $7.59 | $10.47 | $16.60 |
SummaCare Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $16.60 | Professional | None | $9.12 | $11.75 | $16.60 |
United Setting Facility Modifier None Typical Low $5.01 Median $12.59 Typical High $20.89 | Facility | None | $5.01 | $12.59 | $20.89 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.91 Typical High $19.50 | Professional | None | $5.89 | $8.91 | $19.50 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $9.55 Median $15.85 Typical High $20.42 | Professional | QW · Waived lab test | $9.55 | $15.85 | $20.42 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $9.12 Median $11.75 Typical High $16.60 | Professional | QW · Waived lab test | $9.12 | $11.75 | $16.60 |
Where Ohio sits
The same service costs 3.3 times more in Kansas than in New Jersey. 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.
Ohio· 40th 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.