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 $45.71 Median $45.71 Typical High $151.36 | Facility | None | $45.71 | $45.71 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | None | $45.71 | $45.71 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $19.50 | Professional | None | $17.78 | $19.50 | $19.50 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $15.14 Median $17.78 Typical High $17.78 | Professional | QW · Waived lab test | $15.14 | $17.78 | $17.78 |
AvMed Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $42.66 | Facility | None | $30.90 | $35.48 | $42.66 |
AvMed Setting Professional Modifier None Typical Low $17.78 Median $35.48 Typical High $50.12 | Professional | None | $17.78 | $35.48 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $26.92 Typical High $144.54 | Facility | None | $17.78 | $26.92 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $51.29 | Professional | None | $17.38 | $21.88 | $51.29 |
Florida Blue Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | QW · Waived lab test | $66.07 | $66.07 | $66.07 |
Florida Blue Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $45.71 | Professional | None | $21.38 | $26.30 | $45.71 |
Molina Setting Professional Modifier None Typical Low $4.27 Median $21.38 Typical High $39.81 | Professional | None | $4.27 | $21.38 | $39.81 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $47.86 | Professional | None | $14.79 | $19.05 | $47.86 |
Wellpoint Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 27th of 51
$40.74
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.