How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $13.49 Median $14.79 Typical High $14.79 | Facility | None | $13.49 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $17.38 | Professional | None | $12.88 | $13.49 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | None | $16.60 | $16.60 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $38.02 Typical High $50.12 | Facility | None | $16.22 | $38.02 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $23.44 Typical High $81.28 | Professional | None | $6.76 | $23.44 | $81.28 |
Highmark BCBS Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $354.81 | Facility | None | $66.07 | $104.71 | $354.81 |
United Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $32.36 | Professional | None | $14.13 | $14.13 | $32.36 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 59 · Distinct service + QW · Waived lab test Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 59 · Distinct service + QW · Waived lab test | $12.30 | $12.30 | $12.30 |
Where West Virginia 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.
West Virginia· 38th of 51
$14.79
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.