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 $10.23 Median $11.22 Typical High $28.18 | Facility | None | $10.23 | $11.22 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.47 Typical High $11.22 | Professional | None | $8.91 | $10.47 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $7.41 Typical High $7.41 | Professional | None | $7.24 | $7.41 | $7.41 |
AvMed Setting Facility Modifier None Typical Low $9.55 Median $12.02 Typical High $14.45 | Facility | None | $9.55 | $12.02 | $14.45 |
AvMed Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $16.98 | Professional | None | $9.55 | $12.02 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $14.79 Typical High $48.98 | Facility | None | $8.32 | $14.79 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $23.99 | Professional | None | $7.41 | $12.30 | $23.99 |
Florida Blue Setting Facility Modifier None Typical Low $12.30 Median $22.39 Typical High $77.62 | Facility | None | $12.30 | $22.39 | $77.62 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | QW · Waived lab test | $22.39 | $22.39 | $22.39 |
Florida Blue Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $16.60 | Professional | None | $8.32 | $16.60 | $16.60 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $7.24 Median $7.24 Typical High $12.02 | Professional | QW · Waived lab test | $7.24 | $7.24 | $12.02 |
Molina Setting Professional Modifier None Typical Low $1.45 Median $5.75 Typical High $8.51 | Professional | None | $1.45 | $5.75 | $8.51 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $54.95 | Professional | None | $5.01 | $7.24 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
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 $4.79 Median $5.13 Typical High $5.62 | Professional | 52 · Reduced service | $4.79 | $5.13 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.04 Typical High $2.24 | Professional | 53 · Discontinued | $1.95 | $2.04 | $2.24 |
Where Florida sits
The same service costs 5.5 times more in Vermont 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.
Florida· 27th of 51
$12.02
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.