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 $2.63 Median $2.63 Typical High $7.94 | Facility | None | $2.63 | $2.63 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.39 Typical High $6.92 | Professional | None | $2.63 | $3.39 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $2.63 Typical High $5.62 | Professional | None | $2.40 | $2.63 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.39 Median $5.25 Typical High $13.49 | Facility | None | $3.39 | $5.25 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.23 Median $2.88 Typical High $7.59 | Professional | None | $1.23 | $2.88 | $7.59 |
CareSource Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
CareSource Setting Professional Modifier None Typical Low $2.51 Median $3.89 Typical High $3.89 | Professional | None | $2.51 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $8.71 Typical High $20.42 | Facility | None | $3.89 | $8.71 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $4.37 Typical High $6.17 | Professional | None | $2.14 | $4.37 | $6.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.27 Median $5.89 Typical High $14.45 | Professional | None | $4.27 | $5.89 | $14.45 |
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 $2.34 Median $5.37 Typical High $7.08 | Professional | None | $2.34 | $5.37 | $7.08 |
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 $1.32 Median $1.66 Typical High $1.91 | Professional | 52 · Reduced service | $1.32 | $1.66 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.66 Typical High $0.76 | Professional | 53 · Discontinued | $0.52 | $0.66 | $0.76 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $1.78 Median $1.78 Typical High $3.89 | Professional | QW · Waived lab test | $1.78 | $1.78 | $3.89 |
Where Georgia sits
The same service costs 8.1 times more in Vermont 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
$3.72
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.