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 $17.38 Median $39.81 Typical High $66.07 | Facility | None | $17.38 | $39.81 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $70.79 | Professional | None | $14.79 | $16.60 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $33.88 | Facility | None | $14.79 | $21.38 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $15.14 | Professional | None | $7.24 | $8.71 | $15.14 |
CareSource Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $20.89 | Facility | None | $15.85 | $15.85 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $21.38 Typical High $74.13 | Facility | None | $12.02 | $21.38 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $19.05 | Professional | None | $9.77 | $9.77 | $19.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.02 Median $21.88 Typical High $74.13 | Facility | None | $12.02 | $21.88 | $74.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $12.02 | Professional | None | $9.77 | $9.77 | $12.02 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $13.80 | Professional | None | $10.00 | $10.00 | $13.80 |
SummaCare Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $21.88 | Professional | None | $12.02 | $18.20 | $21.88 |
United Setting Facility Modifier None Typical Low $6.61 Median $16.60 Typical High $27.54 | Facility | None | $6.61 | $16.60 | $27.54 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $26.30 | Professional | None | $7.76 | $10.96 | $26.30 |
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 $12.59 Median $22.91 Typical High $26.92 | Professional | QW · Waived lab test | $12.59 | $22.91 | $26.92 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $12.02 Median $18.20 Typical High $21.88 | Professional | QW · Waived lab test | $12.02 | $18.20 | $21.88 |
Where Ohio sits
The same service costs 4.0 times more in Kansas than in Georgia. 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· 41st of 51
$12.59
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.