How much rates vary
Facilitymedian $23 · 10th to 90th $4 to $117Professionalmedian $13 · 10th to 90th $8 to $32
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 $14.79 Median $30.20 Typical High $95.50 | Facility | None | $14.79 | $30.20 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $27.54 | Professional | None | $13.49 | $15.85 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $6.76 Typical High $12.02 | Professional | None | $6.17 | $6.76 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $23.99 Typical High $66.07 | Facility | None | $16.60 | $23.99 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $30.20 | Professional | None | $9.12 | $10.00 | $30.20 |
Blue Shield Setting Facility Modifier None Typical Low $34.67 Median $107.15 Typical High $204.17 | Facility | None | $34.67 | $107.15 | $204.17 |
Blue Shield Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $21.38 | Professional | None | $8.32 | $11.75 | $21.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $17.38 | Professional | None | $10.72 | $10.72 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.89 Typical High $47.86 | Facility | None | $9.33 | $20.89 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $20.42 Typical High $53.70 | Professional | None | $10.96 | $20.42 | $53.70 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $14.79 | Professional | None | $11.48 | $14.79 | $14.79 |
HealthNet Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $37.15 | Professional | None | $11.48 | $13.49 | $37.15 |
Lucent Health Setting Professional Modifier None Typical Low $11.48 Median $18.62 Typical High $54.95 | Professional | None | $11.48 | $18.62 | $54.95 |
Molina Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $16.22 | Professional | None | $8.13 | $8.13 | $16.22 |
Providence Setting Facility Modifier None Typical Low $9.77 Median $17.38 Typical High $44.67 | Facility | None | $9.77 | $17.38 | $44.67 |
Providence Setting Professional Modifier None Typical Low $10.23 Median $19.95 Typical High $44.67 | Professional | None | $10.23 | $19.95 | $44.67 |
Sutter Health Plus Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $36.31 | Professional | None | $5.62 | $7.94 | $36.31 |
7 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 Facility Modifier 52 · Reduced service Typical Low $7.76 Median $20.42 Typical High $48.98 | Facility | 52 · Reduced service | $7.76 | $20.42 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $8.13 Typical High $19.50 | Facility | 53 · Discontinued | $3.16 | $8.13 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $5.75 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $2.29 | $3.24 | $3.24 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $9.33 Median $17.38 Typical High $19.50 | Professional | QW · Waived lab test | $9.33 | $17.38 | $19.50 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $10.72 Median $15.49 Typical High $37.15 | Professional | QW · Waived lab test | $10.72 | $15.49 | $37.15 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | QW · Waived lab test | $46.77 | $46.77 | $46.77 |
Where California sits
The same service costs 10.7 times more in Vermont 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.
California· 25th of 51
$15.14
VT $110MD $10.23
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.