How much rates vary
Facilitymedian $30 · 10th to 90th $19 to $69Professionalmedian $13 · 10th to 90th $9 to $34
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 $22.91 Median $52.48 Typical High $87.10 | Facility | None | $22.91 | $52.48 | $87.10 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $11.48 Median $25.70 Typical High $43.65 | Facility | 52 · Reduced service | $11.48 | $25.70 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $10.47 Typical High $17.38 | Facility | 53 · Discontinued | $4.57 | $10.47 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $257.04 | Professional | None | $17.78 | $19.05 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $10.23 Typical High $141.25 | Professional | 52 · Reduced service | $9.55 | $10.23 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.07 Typical High $56.23 | Professional | 53 · Discontinued | $3.89 | $4.07 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $37.15 | Professional | None | $14.45 | $14.45 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $44.67 | Facility | None | $19.50 | $28.18 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $17.78 | Professional | None | $7.41 | $8.71 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $27.54 | Facility | None | $15.49 | $15.49 | $27.54 |
CareSource Setting Professional Modifier None Typical Low $15.49 Median $23.99 Typical High $32.36 | Professional | None | $15.49 | $23.99 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $28.18 Typical High $97.72 | Facility | None | $15.85 | $28.18 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $19.50 | Professional | None | $12.88 | $12.88 | $19.50 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $16.22 Median $30.20 Typical High $97.72 | Facility | None | $16.22 | $30.20 | $97.72 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $18.62 | Professional | None | $12.88 | $12.88 | $18.62 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $16.98 | Professional | None | $13.18 | $13.18 | $16.98 |
SummaCare Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
SummaCare Setting Professional Modifier None Typical Low $15.49 Median $23.99 Typical High $47.86 | Professional | None | $15.49 | $23.99 | $47.86 |
United Setting Facility Modifier None Typical Low $8.71 Median $21.88 Typical High $36.31 | Facility | None | $8.71 | $21.88 | $36.31 |
United Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $34.67 | Professional | None | $10.00 | $16.22 | $34.67 |
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 $16.60 Median $30.20 Typical High $35.48 | Professional | QW · Waived lab test | $16.60 | $30.20 | $35.48 |
SummaCare Setting Professional Modifier QW · Waived lab test Typical Low $15.49 Median $23.99 Typical High $28.84 | Professional | QW · Waived lab test | $15.49 | $23.99 | $28.84 |
Where Ohio sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 47th of 51
$16.60
HI $54.95MD $15.14
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.