How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4.37 Median $6.92 Typical High $15.49 | Facility | None | $4.37 | $6.92 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $6.92 Typical High $10.72 | Professional | None | $4.37 | $6.92 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $8.13 Typical High $8.71 | Facility | None | $5.13 | $8.13 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $6.92 Typical High $11.48 | Professional | None | $4.07 | $6.92 | $11.48 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $11.48 | Facility | None | $8.13 | $9.77 | $11.48 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $13.49 | Professional | None | $8.13 | $9.33 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $14.79 Typical High $17.38 | Facility | None | $7.08 | $14.79 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $53.70 Typical High $53.70 | Professional | None | $4.17 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $3.47 Median $6.92 Typical High $11.48 | Professional | None | $3.47 | $6.92 | $11.48 |
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 $2.19 Median $3.47 Typical High $4.07 | Professional | 52 · Reduced service | $2.19 | $3.47 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.38 Typical High $1.62 | Professional | 53 · Discontinued | $0.87 | $1.38 | $1.62 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | QW · Waived lab test | $8.13 | $8.13 | $8.13 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska 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.
Kentucky· 42nd of 51
$6.92
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.