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 $213.80 Median $218.78 Typical High $346.74 | Facility | None | $213.80 | $218.78 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $316.23 | Professional | None | $194.98 | $218.78 | $316.23 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $275.42 | Facility | None | $162.18 | $263.03 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $223.87 | Professional | None | $104.71 | $104.71 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $371.54 | Facility | None | $263.03 | $354.81 | $371.54 |
CareSource Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $436.52 | Professional | None | $263.03 | $338.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $616.60 | Facility | None | $229.09 | $380.19 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $1,258.93 Typical High $1,258.93 | Professional | None | $125.89 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $416.87 | Professional | None | $114.82 | $158.49 | $416.87 |
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 $97.72 Median $107.15 Typical High $131.83 | Professional | 52 · Reduced service | $97.72 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $52.48 | Professional | 53 · Discontinued | $39.81 | $42.66 | $52.48 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $245.47 Median $263.03 Typical High $489.78 | Professional | QW · Waived lab test | $245.47 | $263.03 | $489.78 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Delaware. 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.
Kentucky· 39th of 51
$209
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.