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 $41.69 Median $41.69 Typical High $91.20 | Facility | None | $41.69 | $41.69 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $100.00 | Professional | None | $41.69 | $41.69 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $239.88 | Facility | None | $70.79 | $79.43 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $26.92 Typical High $26.92 | Professional | None | $16.60 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $134.90 Typical High $194.98 | Facility | None | $67.61 | $134.90 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $169.82 | Professional | None | $34.67 | $44.67 | $169.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $131.83 | Professional | None | $41.69 | $47.86 | $131.83 |
United Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $64.57 | Professional | None | $28.84 | $47.86 | $64.57 |
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 $22.91 Median $22.91 Typical High $26.92 | Professional | QW · Waived lab test | $22.91 | $22.91 | $26.92 |
Where New Hampshire 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.
New Hampshire· 20th of 51
$43.65
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.