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 $3.89 Median $5.50 Typical High $10.72 | Facility | None | $3.89 | $5.50 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.37 Typical High $9.33 | Professional | None | $3.89 | $5.37 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.88 Typical High $6.76 | Professional | None | $2.34 | $2.88 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $6.61 Typical High $19.95 | Facility | None | $4.68 | $6.61 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.45 Median $3.47 Typical High $8.51 | Professional | None | $1.45 | $3.47 | $8.51 |
CareSource Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
CareSource Setting Professional Modifier None Typical Low $3.80 Median $5.75 Typical High $5.75 | Professional | None | $3.80 | $5.75 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.88 Typical High $31.62 | Facility | None | $5.75 | $12.88 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $5.01 Typical High $8.71 | Professional | None | $2.57 | $5.01 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.46 Median $8.71 Typical High $15.49 | Professional | None | $6.46 | $8.71 | $15.49 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $3.47 Median $6.03 Typical High $10.47 | Professional | None | $3.47 | $6.03 | $10.47 |
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 $1.95 Median $2.34 Typical High $2.82 | Professional | 52 · Reduced service | $1.95 | $2.34 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.93 Typical High $1.12 | Professional | 53 · Discontinued | $0.78 | $0.93 | $1.12 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.98 Median $5.62 Typical High $5.75 | Professional | QW · Waived lab test | $3.98 | $5.62 | $5.75 |
Where Georgia sits
The same service costs 7.9 times more in Minnesota than in New York. 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· 40th of 51
$5.25
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.