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 $12.30 Median $13.18 Typical High $25.12 | Facility | None | $12.30 | $13.18 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $25.12 | Professional | None | $12.30 | $13.18 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.46 Typical High $10.00 | Professional | 52 · Reduced service | $6.17 | $6.46 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.63 Typical High $3.98 | Professional | 53 · Discontinued | $2.45 | $2.63 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $30.20 | Professional | None | $8.32 | $8.32 | $30.20 |
BCBS Tennessee Setting Professional Modifier None Typical Low $8.51 Median $15.49 Typical High $16.60 | Professional | None | $8.51 | $15.49 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $33.88 Typical High $50.12 | Facility | None | $10.96 | $33.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $8.32 Typical High $22.91 | Professional | None | $7.41 | $8.32 | $22.91 |
Lucent Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $16.60 | Professional | None | $7.76 | $13.18 | $16.60 |
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 $7.08 Median $16.98 Typical High $25.70 | Professional | QW · Waived lab test | $7.08 | $16.98 | $25.70 |
Where Tennessee sits
The same service costs 5.2 times more in Alaska than in Alabama. 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.
Tennessee· 32nd of 51
$15.49
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.