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 $2.19 Median $3.02 Typical High $5.89 | Facility | None | $2.19 | $3.02 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $5.62 | Professional | None | $2.19 | $3.02 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $1.38 Median $1.62 Typical High $4.57 | Professional | None | $1.38 | $1.62 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.63 Median $3.72 Typical High $11.22 | Facility | None | $2.63 | $3.72 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.81 Median $1.95 Typical High $4.79 | Professional | None | $0.81 | $1.95 | $4.79 |
CareSource Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Facility | None | $2.19 | $2.19 | $2.19 |
CareSource Setting Professional Modifier None Typical Low $2.14 Median $3.31 Typical High $3.31 | Professional | None | $2.14 | $3.31 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $7.24 Typical High $16.98 | Facility | None | $3.31 | $7.24 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $1.45 Median $2.63 Typical High $4.90 | Professional | None | $1.45 | $2.63 | $4.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.63 Median $4.90 Typical High $8.71 | Professional | None | $3.63 | $4.90 | $8.71 |
United Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $5.89 | Professional | None | $1.95 | $3.31 | $5.89 |
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 $1.10 Median $1.32 Typical High $1.58 | Professional | 52 · Reduced service | $1.10 | $1.32 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.52 Typical High $0.65 | Professional | 53 · Discontinued | $0.44 | $0.52 | $0.65 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.62 Median $1.74 Typical High $4.27 | Professional | QW · Waived lab test | $1.62 | $1.74 | $4.27 |
Where Georgia sits
The same service costs 11.5 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· 44th of 51
$2.88
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.