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 $7.59 Median $10.72 Typical High $21.88 | Facility | None | $7.59 | $10.72 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $23.44 | Professional | None | $7.59 | $10.72 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $16.60 | Professional | None | $5.75 | $5.75 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $39.81 | Facility | None | $10.00 | $15.14 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $8.51 Typical High $20.89 | Professional | None | $3.63 | $8.51 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
CareSource Setting Professional Modifier None Typical Low $7.41 Median $11.48 Typical High $11.48 | Professional | None | $7.41 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $25.12 Typical High $57.54 | Facility | None | $11.48 | $25.12 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $13.18 Typical High $17.38 | Professional | None | $6.46 | $13.18 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $39.81 | Professional | None | $12.59 | $17.38 | $39.81 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $23.99 | Professional | None | $5.25 | $8.71 | $23.99 |
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 $3.80 Median $4.90 Typical High $5.62 | Professional | 52 · Reduced service | $3.80 | $4.90 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.95 Typical High $2.24 | Professional | 53 · Discontinued | $1.51 | $1.95 | $2.24 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $5.25 Median $5.25 Typical High $11.48 | Professional | QW · Waived lab test | $5.25 | $5.25 | $11.48 |
Where Georgia sits
The same service costs 5.2 times more in Minnesota 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· 46th of 51
$9.33
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.