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 $41.69 Median $41.69 Typical High $67.61 | Facility | None | $41.69 | $41.69 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $41.69 | Professional | None | $35.48 | $39.81 | $41.69 |
BCBS Alabama Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
BCBS Alabama Setting Professional Modifier 02 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 34 + 41 + 49 + 52 · Reduced service + 55 · Aftercare only + 92 · Alternate lab platform Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | 02 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 34 + 41 + 49 + 52 · Reduced service + 55 · Aftercare only + 92 · Alternate lab platform | $25.12 | $25.12 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $34.67 Typical High $131.83 | Facility | None | $33.88 | $34.67 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $39.81 | Professional | None | $18.62 | $26.92 | $39.81 |
United Setting Facility Modifier None Typical Low $14.79 Median $37.15 Typical High $41.69 | Facility | None | $14.79 | $37.15 | $41.69 |
United Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $45.71 | Professional | None | $24.55 | $27.54 | $45.71 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $17.78 Median $20.89 Typical High $20.89 | Professional | QW · Waived lab test | $17.78 | $20.89 | $20.89 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Ohio. 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.
Alabama· 50th of 51
$27.54
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.