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 $15.85 Median $15.85 Typical High $42.66 | Facility | None | $15.85 | $15.85 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $25.70 | Professional | None | $15.85 | $20.42 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $31.62 Typical High $89.13 | Facility | None | $18.62 | $31.62 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $12.02 Typical High $2,818.38 | Professional | None | $7.41 | $12.02 | $2,818.38 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $15.49 Median $23.99 Typical High $23.99 | Professional | None | $15.49 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $74.13 | Facility | None | $31.62 | $52.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $31.62 | Professional | None | $12.88 | $12.88 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $181.97 Typical High $436.52 | Professional | None | $23.99 | $181.97 | $436.52 |
Oscar Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Facility | None | $33.88 | $33.88 | $39.81 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $50.12 | Professional | None | $10.96 | $16.60 | $50.12 |
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 $7.94 Median $9.55 Typical High $11.48 | Professional | 52 · Reduced service | $7.94 | $9.55 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.89 Typical High $4.57 | Professional | 53 · Discontinued | $3.24 | $3.89 | $4.57 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $10.96 Median $10.96 Typical High $23.99 | Professional | QW · Waived lab test | $10.96 | $10.96 | $23.99 |
Where Georgia sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 48th 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.