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 $2.82 Median $4.07 Typical High $8.32 | Facility | None | $2.82 | $4.07 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $8.32 | Professional | None | $2.82 | $3.98 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.63 Typical High $6.17 | Professional | None | $2.00 | $2.63 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $5.50 Typical High $14.79 | Facility | None | $3.80 | $5.50 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.23 Median $2.88 Typical High $7.41 | Professional | None | $1.23 | $2.88 | $7.41 |
CareSource Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
CareSource Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $4.27 | Professional | None | $2.82 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $9.33 Typical High $22.39 | Facility | None | $4.27 | $9.33 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $4.37 Typical High $6.76 | Professional | None | $2.14 | $4.37 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $14.13 | Professional | None | $4.68 | $6.46 | $14.13 |
United Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $10.47 | Facility | None | $1.26 | $1.26 | $10.47 |
United Setting Professional Modifier None Typical Low $2.57 Median $5.37 Typical High $7.59 | Professional | None | $2.57 | $5.37 | $7.59 |
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 $1.45 Median $1.74 Typical High $2.09 | Professional | 52 · Reduced service | $1.45 | $1.74 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.69 Typical High $0.83 | Professional | 53 · Discontinued | $0.56 | $0.69 | $0.83 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $2.95 Median $5.25 Typical High $5.25 | Professional | QW · Waived lab test | $2.95 | $5.25 | $5.25 |
Where Georgia sits
The same service costs 14.8 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· 38th of 51
$4.27
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.