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 $16.98 Median $37.15 Typical High $56.23 | Facility | None | $16.98 | $37.15 | $56.23 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.94 Median $16.98 Typical High $27.54 | Facility | 52 · Reduced service | $7.94 | $16.98 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $6.92 Typical High $10.96 | Facility | 53 · Discontinued | $3.16 | $6.92 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $52.48 | Professional | None | $13.49 | $22.91 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.94 Typical High $23.44 | Professional | 52 · Reduced service | $6.76 | $7.94 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.16 Typical High $9.33 | Professional | 53 · Discontinued | $2.69 | $3.16 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $30.90 | Facility | None | $13.49 | $19.50 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $12.88 | Professional | None | $6.76 | $6.76 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $19.50 | Facility | None | $12.30 | $12.30 | $19.50 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $22.91 | Professional | None | $10.96 | $16.98 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $17.78 Typical High $36.31 | Facility | None | $10.96 | $17.78 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $22.39 | Professional | None | $7.76 | $10.96 | $22.39 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $13.18 Median $20.42 Typical High $70.79 | Facility | None | $13.18 | $20.42 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $21.38 | Professional | None | $7.76 | $10.72 | $21.38 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $19.95 | Professional | None | $9.33 | $12.59 | $19.95 |
SummaCare Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $19.95 | Professional | None | $10.96 | $14.45 | $19.95 |
United Setting Facility Modifier None Typical Low $6.03 Median $15.14 Typical High $25.12 | Facility | None | $6.03 | $15.14 | $25.12 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $23.44 | Professional | None | $7.08 | $10.00 | $23.44 |
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 $11.48 Median $19.50 Typical High $24.55 | Professional | QW · Waived lab test | $11.48 | $19.50 | $24.55 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $10.96 Median $14.45 Typical High $19.95 | Professional | QW · Waived lab test | $10.96 | $14.45 | $19.95 |
Where Ohio sits
The same service costs 3.6 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.
Ohio· 39th of 51
$13.49
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.