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 $46.77 Median $46.77 Typical High $125.89 | Facility | None | $46.77 | $46.77 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $123.03 | Professional | None | $46.77 | $63.10 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | None | $114.82 | $114.82 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $245.47 | Facility | None | $60.26 | $91.20 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $52.48 Typical High $138.04 | Professional | None | $21.88 | $52.48 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $95.50 | Professional | None | $85.11 | $91.20 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $213.80 | Facility | None | $70.79 | $141.25 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $77.62 Typical High $275.42 | Professional | None | $38.90 | $77.62 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $134.90 | Professional | None | $63.10 | $91.20 | $134.90 |
Oscar Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | None | $87.10 | $87.10 | $100.00 |
United Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $151.36 | Professional | None | $36.31 | $52.48 | $151.36 |
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 $23.44 Median $27.54 Typical High $33.88 | Professional | 52 · Reduced service | $23.44 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.96 Typical High $13.49 | Professional | 53 · Discontinued | $9.33 | $10.96 | $13.49 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | QW · Waived lab test | $69.18 | $69.18 | $70.79 |
Where Georgia sits
The same service costs 4.0 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· 31st of 51
$67.61
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.