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 $21.88 Median $21.88 Typical High $58.88 | Facility | None | $21.88 | $21.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $31.62 | Professional | None | $21.88 | $26.30 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $37.15 Typical High $112.20 | Facility | None | $25.12 | $37.15 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $13.18 Typical High $41.69 | Professional | None | $8.32 | $13.18 | $41.69 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $66.07 Typical High $100.00 | Facility | None | $33.11 | $66.07 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $50.12 | Professional | None | $14.13 | $16.60 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $61.66 | Professional | None | $36.31 | $46.77 | $61.66 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $69.18 | Professional | None | $13.80 | $19.50 | $69.18 |
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 $10.96 Median $12.88 Typical High $15.85 | Professional | 52 · Reduced service | $10.96 | $12.88 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.13 Typical High $6.31 | Professional | 53 · Discontinued | $4.37 | $5.13 | $6.31 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | QW · Waived lab test | $16.22 | $16.22 | $16.22 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $14.79 Median $14.79 Typical High $33.11 | Professional | QW · Waived lab test | $14.79 | $14.79 | $33.11 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 50th of 51
$21.88
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.