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 $9.55 Median $13.80 Typical High $26.30 | Facility | None | $9.55 | $13.80 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $13.18 Typical High $25.12 | Professional | None | $9.55 | $13.18 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $20.42 | Professional | None | $7.08 | $7.08 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $19.05 Typical High $48.98 | Facility | None | $12.30 | $19.05 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $10.47 Typical High $27.54 | Professional | None | $4.47 | $10.47 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $14.13 Typical High $14.13 | Professional | None | $9.33 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $31.62 Typical High $57.54 | Facility | None | $14.13 | $31.62 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $10.23 Typical High $21.88 | Professional | None | $8.91 | $10.23 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $52.48 | Professional | None | $15.85 | $21.38 | $52.48 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.47 Typical High $30.20 | Professional | None | $6.31 | $10.47 | $30.20 |
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 $4.79 Median $6.03 Typical High $6.92 | Professional | 52 · Reduced service | $4.79 | $6.03 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.40 Typical High $2.75 | Professional | 53 · Discontinued | $1.91 | $2.40 | $2.75 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $6.46 Median $6.46 Typical High $14.13 | Professional | QW · Waived lab test | $6.46 | $6.46 | $14.13 |
Where Georgia sits
The same service costs 9.5 times more in Vermont than in Indiana. 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· 44th of 51
$12.02
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.