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 $1.58 Median $2.24 Typical High $4.79 | Facility | None | $1.58 | $2.24 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $2.19 Typical High $5.13 | Professional | None | $1.58 | $2.19 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $2.75 | Professional | None | $1.20 | $1.20 | $2.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.09 Median $3.16 Typical High $8.13 | Facility | None | $2.09 | $3.16 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.72 Median $1.78 Typical High $4.79 | Professional | None | $0.72 | $1.78 | $4.79 |
CareSource Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | None | $1.58 | $1.58 | $1.58 |
CareSource Setting Professional Modifier None Typical Low $1.55 Median $2.34 Typical High $2.34 | Professional | None | $1.55 | $2.34 | $2.34 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $5.25 Typical High $13.18 | Facility | None | $2.34 | $5.25 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $1.26 Median $2.63 Typical High $3.63 | Professional | None | $1.26 | $2.63 | $3.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.63 Median $3.55 Typical High $8.51 | Professional | None | $2.63 | $3.55 | $8.51 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $1.41 Median $3.24 Typical High $4.27 | Professional | None | $1.41 | $3.24 | $4.27 |
4 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 $0.79 Median $1.00 Typical High $1.15 | Professional | 52 · Reduced service | $0.79 | $1.00 | $1.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.38 Typical High $0.47 | Professional | 53 · Discontinued | $0.32 | $0.38 | $0.47 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.00 Median $1.20 Typical High $3.39 | Professional | QW · Waived lab test | $1.00 | $1.20 | $3.39 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $1.62 Median $3.16 Typical High $3.16 | Professional | QW · Waived lab test | $1.62 | $3.16 | $3.16 |
Where Georgia sits
The same service costs 16.6 times more in Minnesota than in Washington, DC. 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· 37th of 51
$2.34
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.