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 $27.54 Median $63.10 Typical High $107.15 | Facility | None | $27.54 | $63.10 | $107.15 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $15.49 Median $30.20 Typical High $53.70 | Facility | 52 · Reduced service | $15.49 | $30.20 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $12.02 Typical High $21.38 | Facility | 53 · Discontinued | $6.17 | $12.02 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $87.10 | Professional | None | $26.30 | $30.90 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $15.49 Typical High $43.65 | Professional | 52 · Reduced service | $13.18 | $15.49 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.17 Typical High $17.38 | Professional | 53 · Discontinued | $5.25 | $6.17 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $38.02 Typical High $60.26 | Facility | None | $26.30 | $38.02 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $24.55 | Professional | None | $13.18 | $13.18 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $38.02 | Facility | None | $20.89 | $20.89 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $38.02 Typical High $134.90 | Facility | None | $21.38 | $38.02 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $15.49 Typical High $44.67 | Professional | None | $14.45 | $15.49 | $44.67 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $21.38 Median $40.74 Typical High $134.90 | Facility | None | $21.38 | $40.74 | $134.90 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $44.67 | Professional | None | $14.45 | $15.14 | $44.67 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $38.90 | Professional | None | $18.20 | $24.55 | $38.90 |
SummaCare Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $38.90 | Professional | None | $21.38 | $27.54 | $38.90 |
United Setting Facility Modifier None Typical Low $11.75 Median $29.51 Typical High $48.98 | Facility | None | $11.75 | $29.51 | $48.98 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $46.77 | Professional | None | $13.80 | $19.50 | $46.77 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $22.39 Median $38.02 Typical High $47.86 | Professional | QW · Waived lab test | $22.39 | $38.02 | $47.86 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $21.38 Median $27.54 Typical High $38.90 | Professional | QW · Waived lab test | $21.38 | $27.54 | $38.90 |
Where Ohio sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$22.91
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.