How much rates vary
Facilitymedian $550 · 10th to 90th $224 to $2,138Professionalmedian $224 · 10th to 90th $105 to $1,995
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 $218.78 Median $537.03 Typical High $1,348.96 | Facility | None | $218.78 | $537.03 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $223.87 | Professional | None | $194.98 | $223.87 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $1,288.25 | Facility | None | $323.59 | $467.74 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $954.99 | Professional | None | $104.71 | $131.83 | $954.99 |
Blue Shield Setting Facility Modifier None Typical Low $346.74 Median $1,513.56 Typical High $2,818.38 | Facility | None | $346.74 | $1,513.56 | $2,818.38 |
Blue Shield Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $457.09 | Professional | None | $120.23 | $169.82 | $457.09 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $269.15 | Professional | None | $162.18 | $208.93 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $467.74 Typical High $870.96 | Facility | None | $181.97 | $467.74 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $1,288.25 | Professional | None | $141.25 | $288.40 | $1,288.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $354.81 | Professional | None | $158.49 | $288.40 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $707.95 | Professional | None | $234.42 | $302.00 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,995.26 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $354.81 Typical High $794.33 | Facility | None | $199.53 | $354.81 | $794.33 |
Providence Setting Professional Modifier None Typical Low $144.54 Median $302.00 Typical High $1,288.25 | Professional | None | $144.54 | $302.00 | $1,288.25 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $263.03 | Facility | None | $109.65 | $109.65 | $263.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $1,148.15 | Professional | None | $109.65 | $158.49 | $1,148.15 |
6 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 $109.65 Median $281.84 Typical High $676.08 | Facility | 52 · Reduced service | $109.65 | $281.84 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $114.82 Typical High $275.42 | Facility | 53 · Discontinued | $43.65 | $114.82 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $97.72 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $39.81 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $263.03 Median $371.54 Typical High $380.19 | Professional | QW · Waived lab test | $263.03 | $371.54 | $380.19 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $234.42 Median $354.81 Typical High $741.31 | Professional | QW · Waived lab test | $234.42 | $354.81 | $741.31 |
Where California sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 26th of 51
$263
AK $589DE $158
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.