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 $10.96 Median $15.85 Typical High $25.12 | Facility | None | $10.96 | $15.85 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $26.30 | Professional | None | $10.96 | $15.49 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $19.50 | Professional | None | $8.32 | $8.71 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $19.05 Typical High $57.54 | Facility | None | $13.18 | $19.05 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $10.00 Typical High $23.99 | Professional | None | $4.17 | $10.00 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $16.60 | Professional | None | $10.72 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $36.31 Typical High $57.54 | Facility | None | $16.60 | $36.31 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.49 Typical High $25.12 | Professional | None | $7.41 | $13.49 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $42.66 | Professional | None | $18.20 | $25.12 | $42.66 |
United Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $29.51 | Professional | None | $10.00 | $16.60 | $29.51 |
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 $5.50 Median $6.61 Typical High $7.94 | Professional | 52 · Reduced service | $5.50 | $6.61 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.63 Typical High $3.24 | Professional | 53 · Discontinued | $2.19 | $2.63 | $3.24 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $8.51 Typical High $22.91 | Professional | QW · Waived lab test | $7.08 | $8.51 | $22.91 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $15.85 Typical High $16.60 | Professional | QW · Waived lab test | $11.48 | $15.85 | $16.60 |
Where Georgia sits
The same service costs 5.2 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· 34th of 51
$15.14
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.