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 $190.55 | Facility | None | $141.25 | $141.25 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $269.15 | Professional | None | $141.25 | $141.25 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $57.54 Typical High $63.10 | Professional | None | $53.70 | $57.54 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $263.03 | Facility | None | $141.25 | $169.82 | $263.03 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $229.09 | Professional | None | $141.25 | $177.83 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $338.84 | Facility | None | $123.03 | $208.93 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $691.83 Typical High $691.83 | Professional | None | $75.86 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $213.80 | Professional | None | $66.07 | $87.10 | $213.80 |
4 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 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $70.79 Median $120.23 Typical High $177.83 | Professional | QW · Waived lab test | $70.79 | $120.23 | $177.83 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $131.83 Median $141.25 Typical High $263.03 | Professional | QW · Waived lab test | $131.83 | $141.25 | $263.03 |
Where Kentucky 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.
Kentucky· 46th of 51
$107
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.