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 $34.67 Typical High $46.77 | Facility | None | $15.14 | $34.67 | $46.77 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.59 Median $16.98 Typical High $23.44 | Facility | 52 · Reduced service | $7.59 | $16.98 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $6.92 Typical High $9.33 | Facility | 53 · Discontinued | $3.02 | $6.92 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $22.39 Typical High $53.70 | Professional | None | $12.30 | $22.39 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.59 Typical High $32.36 | Professional | 52 · Reduced service | $6.46 | $7.59 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.02 Typical High $12.88 | Professional | 53 · Discontinued | $2.57 | $3.02 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $29.51 | Facility | None | $12.88 | $18.62 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $12.30 | Professional | None | $6.46 | $6.46 | $12.30 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $18.62 | Facility | None | $10.47 | $10.47 | $18.62 |
CareSource Setting Professional Modifier None Typical Low $10.47 Median $16.22 Typical High $21.88 | Professional | None | $10.47 | $16.22 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $19.50 Typical High $40.74 | Facility | None | $10.47 | $19.50 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $22.39 | Professional | None | $7.41 | $8.71 | $22.39 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $13.49 Median $21.88 Typical High $66.07 | Facility | None | $13.49 | $21.88 | $66.07 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $7.41 Median $7.76 Typical High $19.95 | Professional | None | $7.41 | $7.76 | $19.95 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $19.50 | Professional | None | $8.91 | $12.02 | $19.50 |
SummaCare Setting Professional Modifier None Typical Low $10.47 Median $13.80 Typical High $26.30 | Professional | None | $10.47 | $13.80 | $26.30 |
United Setting Facility Modifier None Typical Low $5.75 Median $14.45 Typical High $23.99 | Facility | None | $5.75 | $14.45 | $23.99 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $22.39 | Professional | None | $6.76 | $9.55 | $22.39 |
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 $10.96 Median $18.62 Typical High $23.44 | Professional | QW · Waived lab test | $10.96 | $18.62 | $23.44 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $10.47 Median $13.80 Typical High $19.50 | Professional | QW · Waived lab test | $10.47 | $13.80 | $19.50 |
Where Ohio sits
The same service costs 3.5 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.
Ohio· 39th of 51
$12.88
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.