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 $18.20 Median $18.20 Typical High $28.18 | Facility | None | $18.20 | $18.20 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $17.38 | Professional | None | $15.14 | $16.60 | $17.38 |
CareSource Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $33.11 | Professional | None | $20.42 | $24.55 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $46.77 Typical High $60.26 | Facility | None | $16.98 | $46.77 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $131.83 | Professional | None | $35.48 | $38.90 | $131.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $75.86 Median $93.33 Typical High $131.83 | Facility | None | $75.86 | $93.33 | $131.83 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $12.02 Median $32.36 Typical High $66.07 | Professional | None | $12.02 | $32.36 | $66.07 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 90 · Outside lab | $12.02 | $12.02 | $12.02 |
Where West Virginia sits
The same service costs 4.6 times more in Vermont than in Illinois. 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.
West Virginia· 9th of 51
$37.15
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.