How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $47.86 | Facility | None | $45.71 | $45.71 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $66.07 | Professional | None | $35.48 | $45.71 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | None | $44.67 | $44.67 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $25.12 | Professional | None | $14.13 | $14.13 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $63.10 | Facility | None | $35.48 | $42.66 | $63.10 |
CareSource Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $58.88 | Professional | None | $35.48 | $42.66 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $51.29 Typical High $74.13 | Facility | None | $30.20 | $51.29 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $56.23 Typical High $169.82 | Professional | None | $17.78 | $56.23 | $169.82 |
United Setting Professional Modifier None Typical Low $15.85 Median $24.55 Typical High $46.77 | Professional | None | $15.85 | $24.55 | $46.77 |
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 $13.49 Median $30.20 Typical High $52.48 | Professional | QW · Waived lab test | $13.49 | $30.20 | $52.48 |
Where Kentucky 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.
Kentucky· 48th of 51
$24.55
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.