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 $3.39 Median $4.90 Typical High $10.47 | Facility | None | $3.39 | $4.90 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.68 Typical High $8.91 | Professional | None | $3.39 | $4.68 | $8.91 |
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 $2.88 Typical High $10.23 | Professional | None | $1.58 | $2.88 | $10.23 |
CareSource Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | None | $3.39 | $3.39 | $3.39 |
CareSource Setting Professional Modifier None Typical Low $3.31 Median $5.13 Typical High $5.13 | Professional | None | $3.31 | $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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.72 Typical High $10.72 | Professional | None | $2.14 | $3.72 | $10.72 |
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 $1.70 Median $2.19 Typical High $2.51 | Professional | 52 · Reduced service | $1.70 | $2.19 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.87 Typical High $1.00 | Professional | 53 · Discontinued | $0.68 | $0.87 | $1.00 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.55 Median $6.61 Typical High $6.61 | Professional | QW · Waived lab test | $3.55 | $6.61 | $6.61 |
Where Georgia sits
The same service costs 9.5 times more in Minnesota than in New Jersey. 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· 39th of 51
$4.90
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.