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 $5.13 Median $5.13 Typical High $13.80 | Facility | None | $5.13 | $5.13 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $13.49 | Professional | None | $5.13 | $6.17 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $8.51 Typical High $26.92 | Facility | None | $6.17 | $8.51 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $3.09 Typical High $10.47 | Professional | None | $1.95 | $3.09 | $10.47 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
CareSource Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $7.76 | Professional | None | $5.01 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $41.69 | Facility | None | $7.76 | $16.98 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $9.12 Typical High $11.75 | Professional | None | $3.24 | $9.12 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $19.05 | Professional | None | $8.51 | $11.75 | $19.05 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $16.22 | Professional | None | $3.24 | $4.68 | $16.22 |
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 $2.57 Median $3.09 Typical High $3.80 | Professional | 52 · Reduced service | $2.57 | $3.09 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.23 Typical High $1.51 | Professional | 53 · Discontinued | $1.02 | $1.23 | $1.51 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $5.37 Median $6.92 Typical High $7.76 | Professional | QW · Waived lab test | $5.37 | $6.92 | $7.76 |
Where Georgia sits
The same service costs 3.7 times more in Alaska 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· 38th of 51
$6.17
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.