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 $41.69 Median $41.69 Typical High $89.13 | Facility | None | $41.69 | $41.69 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | None | $41.69 | $41.69 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $52.48 Typical High $75.86 | Professional | None | $21.88 | $52.48 | $75.86 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $17.78 Median $39.81 Typical High $79.43 | Professional | QW · Waived lab test | $17.78 | $39.81 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $46.77 Typical High $56.23 | Facility | None | $26.92 | $46.77 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $19.50 Typical High $79.43 | Professional | None | $10.47 | $19.50 | $79.43 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | QW · Waived lab test | $41.69 | $41.69 | $41.69 |
CareSource Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $56.23 | Professional | None | $50.12 | $53.70 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $91.20 Typical High $125.89 | Facility | None | $41.69 | $91.20 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $36.31 Typical High $162.18 | Professional | None | $20.89 | $36.31 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $79.43 | Professional | None | $41.69 | $53.70 | $79.43 |
Oscar Health Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $89.13 | Professional | None | $39.81 | $51.29 | $89.13 |
United Setting Professional Modifier None Typical Low $27.54 Median $45.71 Typical High $72.44 | Professional | None | $27.54 | $45.71 | $72.44 |
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 $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in Ohio. 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· 33rd of 51
$41.69
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.