How much rates vary
Facilitymedian $95 · 10th to 90th $51 to $95Professionalmedian $45 · 10th to 90th $21 to $51
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 $51.29 Median $51.29 Typical High $128.82 | Facility | None | $51.29 | $51.29 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | None (both parts) | $21.88 | $21.88 | $25.70 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | QW · Waived lab test | $25.70 | $25.70 | $25.70 |
AvMed Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
AvMed Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $40.74 | $51.29 | $51.29 |
AvMed Setting Professional Modifier QW · Waived lab test Typical Low $40.74 Median $45.71 Typical High $51.29 | Professional | QW · Waived lab test | $40.74 | $45.71 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $38.90 Typical High $208.93 | Facility | None | $26.30 | $38.90 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $245.47 | Professional | None (both parts) | $51.29 | $51.29 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Florida Blue Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Florida Blue Setting Facility Modifier QW · Waived lab test Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | QW · Waived lab test | $95.50 | $95.50 | $95.50 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $15.49 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $15.49 | $30.90 | $51.29 |
Florida Blue Setting Professional Modifier QW · Waived lab test Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | QW · Waived lab test | $30.90 | $30.90 | $43.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.41 Median $29.51 Typical High $37.15 | Professional | None (both parts) | $7.41 | $29.51 | $37.15 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $22.91 Typical High $67.61 | Professional | None (both parts) | $17.78 | $22.91 | $67.61 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 26 · Professional part | $6.76 | $6.76 | $6.76 |
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 |
|---|---|---|---|---|---|
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.92 | $26.92 | $26.92 |
Where Florida sits
The same service costs 3.1 times more in Alaska than in Maine. 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.
Florida· 39th of 51
$51.29
AK $102ME $33.11
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.