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 $3.47 Median $4.47 Typical High $9.55 | Facility | None | $3.47 | $4.47 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $4.68 Typical High $9.12 | Professional | None | $3.47 | $4.68 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $7.41 | Professional | None | $3.16 | $3.16 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $6.92 Typical High $17.78 | Facility | None | $4.47 | $6.92 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $2.95 Typical High $10.00 | Professional | None | $1.58 | $2.95 | $10.00 |
CareSource Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
CareSource Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $5.13 | Professional | None | $3.39 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $11.22 Typical High $28.18 | Facility | None | $5.13 | $11.22 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $7.76 | Professional | None | $3.24 | $3.63 | $7.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $19.05 | Professional | None | $5.62 | $7.76 | $19.05 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.80 Typical High $10.96 | Professional | None | $2.19 | $3.80 | $10.96 |
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 $1.74 Median $2.19 Typical High $2.51 | Professional | 52 · Reduced service | $1.74 | $2.19 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.87 Typical High $1.00 | Professional | 53 · Discontinued | $0.69 | $0.87 | $1.00 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $2.29 Median $2.29 Typical High $5.13 | Professional | QW · Waived lab test | $2.29 | $2.29 | $5.13 |
Where Georgia sits
The same service costs 8.1 times more in Vermont than in Maryland. 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· 40th of 51
$4.79
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.