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 $9.77 Median $13.80 Typical High $20.42 | Facility | None | $9.77 | $13.80 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $24.55 | Professional | None | $9.77 | $13.80 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $26.30 | Professional | None | $14.13 | $16.60 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $16.60 Typical High $17.38 | Facility | None | $10.23 | $16.60 | $17.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $16.22 | Professional | None | $9.77 | $14.45 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $22.91 | Facility | None | $16.60 | $19.95 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $19.05 Typical High $27.54 | Professional | None | $16.60 | $19.05 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $38.02 Typical High $38.02 | Facility | None | $14.45 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $81.28 Typical High $81.28 | Professional | None | $7.59 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $17.38 | Professional | None | $9.77 | $15.85 | $17.38 |
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 $4.79 Median $6.92 Typical High $8.32 | Professional | 52 · Reduced service | $4.79 | $6.92 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.75 Typical High $3.31 | Professional | 53 · Discontinued | $1.95 | $2.75 | $3.31 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $6.31 Median $8.32 Typical High $16.60 | Professional | QW · Waived lab test | $6.31 | $8.32 | $16.60 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 28th of 51
$15.85
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.