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 $45.71 Median $45.71 Typical High $69.18 | Facility | None | $45.71 | $45.71 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $69.18 | Professional | None | $45.71 | $45.71 | $69.18 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $46.77 Typical High $54.95 | Facility | None | $25.70 | $46.77 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $36.31 | Professional | None | $8.91 | $14.13 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $35.48 | Professional | None | $22.91 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $77.62 Typical High $107.15 | Facility | None | $35.48 | $77.62 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $30.90 Typical High $51.29 | Professional | None | $16.60 | $30.90 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $67.61 | Professional | None | $36.31 | $45.71 | $67.61 |
United Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $74.13 | Professional | None | $18.62 | $26.92 | $74.13 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $15.14 Median $18.62 Typical High $45.71 | Professional | QW · Waived lab test | $15.14 | $18.62 | $45.71 |
Where Georgia sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 47th of 51
$26.92
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.