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 $24.55 Median $32.36 Typical High $69.18 | Facility | None | $24.55 | $32.36 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $48.98 | Professional | None | $24.55 | $30.20 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $13.80 Typical High $16.22 | Professional | 52 · Reduced service | $12.30 | $13.80 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.50 Typical High $6.46 | Professional | 53 · Discontinued | $4.90 | $5.50 | $6.46 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $17.38 Typical High $42.66 | Professional | None | $14.13 | $17.38 | $42.66 |
AvMed Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $42.66 | Facility | None | $28.18 | $35.48 | $42.66 |
AvMed Setting Professional Modifier None Typical Low $14.13 Median $35.48 Typical High $42.66 | Professional | None | $14.13 | $35.48 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $141.25 | Facility | None | $28.84 | $42.66 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $27.54 Typical High $69.18 | Professional | None | $18.62 | $27.54 | $69.18 |
Florida Blue Setting Facility Modifier None Typical Low $30.90 Median $64.57 Typical High $64.57 | Facility | None | $30.90 | $64.57 | $64.57 |
Florida Blue Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $41.69 | Professional | None | $20.89 | $20.89 | $41.69 |
Molina Setting Professional Modifier None Typical Low $4.68 Median $18.62 Typical High $30.90 | Professional | None | $4.68 | $18.62 | $30.90 |
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 $14.13 Median $20.89 Typical High $60.26 | Professional | None | $14.13 | $20.89 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
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 |
|---|---|---|---|---|---|
AvMed Setting Professional Modifier QW · Waived lab test Typical Low $28.18 Median $31.62 Typical High $35.48 | Professional | QW · Waived lab test | $28.18 | $31.62 | $35.48 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | QW · Waived lab test | $64.57 | $64.57 | $64.57 |
Where Florida sits
The same service costs 4.3 times more in Minnesota than in Maryland. 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· 46th of 51
$28.18
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.