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 $7.08 Median $10.23 Typical High $21.38 | Facility | None | $7.08 | $10.23 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $22.39 | Professional | None | $7.08 | $9.77 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $5.25 Median $5.50 Typical High $12.02 | Professional | None | $5.25 | $5.50 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $14.13 Typical High $36.31 | Facility | None | $9.12 | $14.13 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $6.03 Typical High $20.89 | Professional | None | $3.31 | $6.03 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
CareSource Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $10.47 | Professional | None | $6.92 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $23.44 Typical High $56.23 | Facility | None | $10.47 | $23.44 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $7.59 Typical High $15.85 | Professional | None | $6.61 | $7.59 | $15.85 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $38.90 | Professional | None | $11.75 | $15.85 | $38.90 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.76 Typical High $22.39 | Professional | None | $4.79 | $7.76 | $22.39 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $4.47 Typical High $5.13 | Professional | 52 · Reduced service | $3.55 | $4.47 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.78 Typical High $2.04 | Professional | 53 · Discontinued | $1.41 | $1.78 | $2.04 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $7.24 Median $13.80 Typical High $13.80 | Professional | QW · Waived lab test | $7.24 | $13.80 | $13.80 |
Where Georgia sits
The same service costs 19.5 times more in Minnesota than in Kentucky. 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.
Georgia· 45th of 51
$9.12
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.