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 $10.72 Median $10.72 Typical High $29.51 | Facility | None | $10.72 | $10.72 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $16.22 | Professional | None | $10.72 | $12.88 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $18.20 Typical High $56.23 | Facility | None | $12.88 | $18.20 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $6.76 Typical High $23.99 | Professional | None | $4.07 | $6.76 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
CareSource Setting Professional Modifier None Typical Low $10.47 Median $16.22 Typical High $16.22 | Professional | None | $10.47 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $35.48 Typical High $57.54 | Facility | None | $16.22 | $35.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $23.99 | Professional | None | $7.41 | $8.71 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $44.67 | Professional | None | $17.78 | $23.99 | $44.67 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $33.88 | Professional | None | $7.08 | $9.77 | $33.88 |
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 $5.37 Median $6.46 Typical High $7.76 | Professional | 52 · Reduced service | $5.37 | $6.46 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.57 Typical High $3.09 | Professional | 53 · Discontinued | $2.14 | $2.57 | $3.09 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $7.24 Median $7.24 Typical High $16.22 | Professional | QW · Waived lab test | $7.24 | $7.24 | $16.22 |
Where Georgia sits
The same service costs 3.5 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· 33rd of 51
$13.80
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.