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 $51.29 Median $51.29 Typical High $60.26 | Facility | None | $51.29 | $51.29 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $51.29 | $51.29 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $69.18 | Facility | None | $39.81 | $53.70 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.88 Median $40.74 Typical High $100.00 | Professional | None (both parts) | $12.88 | $40.74 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $109.65 | Professional | TC · Technical part | $60.26 | $87.10 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $61.66 Median $66.07 Typical High $69.18 | Professional | None (both parts) | $61.66 | $66.07 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $154.88 | Facility | None | $81.28 | $112.20 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $51.29 | $54.95 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $123.03 | Professional | None | $51.29 | $51.29 | $123.03 |
Oscar Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,630.27 | Facility | None | $1,288.25 | $1,621.81 | $2,630.27 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.90 Typical High $109.65 | Professional | None (both parts) | $21.88 | $30.90 | $109.65 |
5 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 $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $21.88 Median $97.72 Typical High $123.03 | Professional | QW · Waived lab test | $21.88 | $97.72 | $123.03 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | QW · Waived lab test | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Georgia sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 29th of 51
$51.29
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.