How much rates vary
Facilitymedian $200 · 10th to 90th $141 to $427Professionalmedian $81 · 10th to 90th $58 to $229
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 $147.91 Median $263.03 Typical High $478.63 | Facility | None | $147.91 | $263.03 | $478.63 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $128.82 Typical High $213.80 | Facility | 52 · Reduced service | $70.79 | $128.82 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $51.29 Typical High $85.11 | Facility | 53 · Discontinued | $28.84 | $51.29 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $398.11 | Professional | None | $141.25 | $154.88 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | 52 · Reduced service | $70.79 | $70.79 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $64.57 | Professional | 53 · Discontinued | $28.84 | $28.84 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $138.04 | Professional | None | $70.79 | $70.79 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $104.71 | Professional | None | $57.54 | $57.54 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $190.55 | Professional | None | $141.25 | $141.25 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $724.44 | Facility | None | $138.04 | $165.96 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $208.93 | Professional | None | $72.44 | $81.28 | $208.93 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $134.90 Median $186.21 Typical High $331.13 | Facility | None | $134.90 | $186.21 | $331.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $208.93 | Professional | None | $57.54 | $72.44 | $208.93 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $177.83 | Professional | None | $97.72 | $128.82 | $177.83 |
SummaCare Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $218.78 | Professional | None | $120.23 | $173.78 | $218.78 |
United Setting Facility Modifier None Typical Low $51.29 Median $128.82 Typical High $213.80 | Facility | None | $51.29 | $128.82 | $213.80 |
United Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $204.17 | Professional | None | $61.66 | $87.10 | $204.17 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $52.48 Median $70.79 Typical High $186.21 | Professional | QW · Waived lab test | $52.48 | $70.79 | $186.21 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $147.91 Median $181.97 Typical High $269.15 | Professional | QW · Waived lab test | $147.91 | $181.97 | $269.15 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $120.23 Median $173.78 Typical High $223.87 | Professional | QW · Waived lab test | $120.23 | $173.78 | $223.87 |
Where Ohio sits
The same service costs 4.3 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· 47th of 51
$95.50
AK $295AL $69.18
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.