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 $4.17 Median $4.17 Typical High $11.48 | Facility | None | $4.17 | $4.17 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $5.50 Typical High $10.00 | Professional | None | $4.17 | $5.50 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.24 Typical High $3.24 | Professional | None | $3.09 | $3.24 | $3.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $7.08 Typical High $21.38 | Facility | None | $5.01 | $7.08 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.55 Median $3.72 Typical High $9.12 | Professional | None | $1.55 | $3.72 | $9.12 |
CareSource Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
CareSource Setting Professional Modifier None Typical Low $4.07 Median $6.17 Typical High $6.17 | Professional | None | $4.07 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $13.80 Typical High $33.88 | Facility | None | $6.17 | $13.80 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $5.25 Typical High $9.33 | Professional | None | $2.75 | $5.25 | $9.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.92 Median $9.33 Typical High $16.98 | Professional | None | $6.92 | $9.33 | $16.98 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.46 Typical High $11.22 | Professional | None | $3.72 | $6.46 | $11.22 |
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 $2.04 Median $2.51 Typical High $3.02 | Professional | 52 · Reduced service | $2.04 | $2.51 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $1.00 Typical High $1.20 | Professional | 53 · Discontinued | $0.83 | $1.00 | $1.20 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $4.27 Median $6.03 Typical High $6.17 | Professional | QW · Waived lab test | $4.27 | $6.03 | $6.17 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 31st of 51
$5.50
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.