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 $141.25 Median $141.25 Typical High $275.42 | Facility | None | $141.25 | $141.25 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | None | $141.25 | $141.25 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $141.25 | Professional | None | $70.79 | $70.79 | $141.25 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $60.26 Median $144.54 Typical High $275.42 | Professional | QW · Waived lab test | $60.26 | $144.54 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $190.55 | Facility | None | $107.15 | $162.18 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $57.54 Typical High $194.98 | Professional | None | $36.31 | $57.54 | $194.98 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $173.78 Typical High $309.03 | Professional | QW · Waived lab test | $141.25 | $173.78 | $309.03 |
CareSource Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $190.55 | Professional | None | $169.82 | $186.21 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $316.23 Typical High $436.52 | Facility | None | $69.18 | $316.23 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $125.89 Typical High $562.34 | Professional | None | $72.44 | $125.89 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $316.23 | Professional | None | $128.82 | $186.21 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $302.00 | Professional | None | $138.04 | $173.78 | $302.00 |
United Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $302.00 | Professional | None | $66.07 | $95.50 | $302.00 |
2 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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where Georgia sits
The same service costs 4.3 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· 27th of 51
$141
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.