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 $2.34 Median $2.40 Typical High $7.59 | Facility | None | $2.34 | $2.40 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $3.24 Typical High $7.08 | Professional | None | $2.40 | $3.24 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $2.19 Median $3.55 Typical High $5.25 | Professional | None | $2.19 | $3.55 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $4.79 Typical High $12.30 | Facility | None | $3.16 | $4.79 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $2.04 Typical High $7.24 | Professional | None | $1.12 | $2.04 | $7.24 |
CareSource Setting Facility Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Facility | None | $1.95 | $1.95 | $1.95 |
CareSource Setting Professional Modifier None Typical Low $2.34 Median $3.55 Typical High $3.55 | Professional | None | $2.34 | $3.55 | $3.55 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $7.94 Typical High $18.62 | Facility | None | $3.55 | $7.94 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.57 Typical High $5.62 | Professional | None | $2.14 | $2.57 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.98 Median $5.37 Typical High $13.18 | Professional | None | $3.98 | $5.37 | $13.18 |
United Setting Professional Modifier None Typical Low $2.14 Median $4.90 Typical High $6.46 | Professional | None | $2.14 | $4.90 | $6.46 |
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 $1.20 Median $1.51 Typical High $1.74 | Professional | 52 · Reduced service | $1.20 | $1.51 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.60 Typical High $0.69 | Professional | 53 · Discontinued | $0.48 | $0.60 | $0.69 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $1.62 Median $1.62 Typical High $3.55 | Professional | QW · Waived lab test | $1.62 | $1.62 | $3.55 |
Where Georgia sits
The same service costs 3.5 times more in Kansas than in Tennessee. 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· 36th of 51
$3.55
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.