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 $9.77 Median $12.30 Typical High $33.11 | Facility | None | $9.77 | $12.30 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $21.38 | Professional | None | $9.77 | $11.48 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $16.60 | Professional | None | $8.32 | $8.32 | $16.60 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | QW · Waived lab test | $7.08 | $7.08 | $8.32 |
AvMed Setting Facility Modifier None Typical Low $13.18 Median $16.60 Typical High $19.95 | Facility | None | $13.18 | $16.60 | $19.95 |
AvMed Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $23.44 | Professional | None | $8.32 | $16.60 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $14.79 Typical High $67.61 | Facility | None | $10.00 | $14.79 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $15.49 Typical High $29.51 | Professional | None | $7.94 | $15.49 | $29.51 |
Florida Blue Setting Facility Modifier None Typical Low $12.30 Median $30.90 Typical High $30.90 | Facility | None | $12.30 | $30.90 | $30.90 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | QW · Waived lab test | $30.90 | $30.90 | $30.90 |
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 $10.00 Median $10.00 Typical High $14.79 | Professional | QW · Waived lab test | $10.00 | $10.00 | $14.79 |
Molina Setting Professional Modifier None Typical Low $2.00 Median $7.94 Typical High $11.75 | Professional | None | $2.00 | $7.94 | $11.75 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $9.33 Median $14.13 Typical High $54.95 | Professional | None | $9.33 | $14.13 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
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 $4.90 Median $5.62 Typical High $6.76 | Professional | 52 · Reduced service | $4.90 | $5.62 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.69 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.69 |
Where Florida sits
The same service costs 3.2 times more in Alaska 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· 43rd of 51
$14.13
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.