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 $15.14 Median $36.31 Typical High $54.95 | Facility | None | $15.14 | $36.31 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $23.44 Typical High $61.66 | Professional | None | $12.30 | $23.44 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $23.44 Typical High $23.44 | Professional | None | $20.42 | $23.44 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $17.78 Typical High $28.18 | Facility | None | $12.30 | $17.78 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $11.75 | Professional | None | $5.13 | $6.17 | $11.75 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $17.38 | Facility | None | $11.48 | $11.48 | $17.38 |
CareSource Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $20.42 | Professional | None | $10.00 | $15.14 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $17.78 Typical High $63.10 | Facility | None | $10.00 | $17.78 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $21.88 | Professional | None | $6.92 | $8.32 | $21.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $10.00 Median $19.05 Typical High $63.10 | Facility | None | $10.00 | $19.05 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $21.38 | Professional | None | $6.92 | $8.32 | $21.38 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $18.20 | Professional | None | $8.32 | $11.48 | $18.20 |
SummaCare Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $18.20 | Professional | None | $10.00 | $12.88 | $18.20 |
United Setting Facility Modifier None Typical Low $5.50 Median $13.80 Typical High $22.91 | Facility | None | $5.50 | $13.80 | $22.91 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $21.38 | Professional | None | $6.46 | $9.12 | $21.38 |
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 $10.47 Median $17.38 Typical High $22.39 | Professional | QW · Waived lab test | $10.47 | $17.38 | $22.39 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $10.00 Median $12.88 Typical High $18.20 | Professional | QW · Waived lab test | $10.00 | $12.88 | $18.20 |
Where Ohio sits
The same service costs 3.5 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· 38th of 51
$12.02
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.