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 $2.45 Median $2.82 Typical High $7.76 | Facility | None | $2.45 | $2.82 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $3.31 Typical High $7.94 | Professional | None | $2.45 | $3.31 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $5.25 | Professional | None | $2.24 | $2.24 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $4.90 Typical High $12.59 | Facility | None | $3.16 | $4.90 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $2.69 Typical High $7.08 | Professional | None | $1.12 | $2.69 | $7.08 |
CareSource Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
CareSource Setting Professional Modifier None Typical Low $2.40 Median $3.63 Typical High $3.63 | Professional | None | $2.40 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $8.13 Typical High $20.42 | Facility | None | $3.63 | $8.13 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.57 Typical High $5.62 | Professional | None | $2.29 | $2.57 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $13.49 | Professional | None | $4.07 | $5.50 | $13.49 |
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 $1.66 Median $2.69 Typical High $7.76 | Professional | None | $1.66 | $2.69 | $7.76 |
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 $1.23 Median $1.55 Typical High $1.78 | Professional | 52 · Reduced service | $1.23 | $1.55 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.59 Typical High $0.72 | Professional | 53 · Discontinued | $0.49 | $0.59 | $0.72 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $1.66 Median $1.66 Typical High $3.63 | Professional | QW · Waived lab test | $1.66 | $1.66 | $3.63 |
Where Georgia sits
The same service costs 10.2 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· 46th of 51
$3.09
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.