How much rates vary
Facilitymedian $25 · 10th to 90th $8 to $72Professionalmedian $7 · 10th to 90th $5 to $21
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 $9.55 Median $22.39 Typical High $60.26 | Facility | None | $9.55 | $22.39 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $9.55 Typical High $9.77 | Professional | None | $6.61 | $9.55 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $5.01 Typical High $12.88 | Professional | None | $4.90 | $5.01 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $15.49 Typical High $40.74 | Facility | None | $10.00 | $15.49 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $6.03 Typical High $18.62 | Professional | None | $4.90 | $6.03 | $18.62 |
Blue Shield Setting Facility Modifier None Typical Low $20.89 Median $67.61 Typical High $123.03 | Facility | None | $20.89 | $67.61 | $123.03 |
Blue Shield Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $13.18 | Professional | None | $5.01 | $7.24 | $13.18 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $10.72 | Professional | None | $6.61 | $6.61 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $12.30 Typical High $27.54 | Facility | None | $5.62 | $12.30 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $27.54 | Professional | None | $5.25 | $8.71 | $27.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $8.91 | Professional | None | $7.08 | $8.91 | $8.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $22.91 | Professional | None | $6.92 | $8.91 | $22.91 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $9.77 | Professional | None | $4.90 | $4.90 | $9.77 |
Providence Setting Facility Modifier None Typical Low $6.76 Median $10.23 Typical High $26.30 | Facility | None | $6.76 | $10.23 | $26.30 |
Providence Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $20.89 | Professional | None | $5.37 | $8.13 | $20.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.08 Typical High $21.88 | Professional | None | $4.90 | $7.08 | $21.88 |
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 $4.79 Median $12.59 Typical High $29.51 | Facility | 52 · Reduced service | $4.79 | $12.59 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.91 Median $5.01 Typical High $12.02 | Facility | 53 · Discontinued | $1.91 | $5.01 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $4.90 Typical High $4.90 | Professional | 52 · Reduced service | $3.47 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.38 | $1.95 | $1.95 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $5.62 Median $10.72 Typical High $11.75 | Professional | QW · Waived lab test | $5.62 | $10.72 | $11.75 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $6.61 Median $9.77 Typical High $22.91 | Professional | QW · Waived lab test | $6.61 | $9.77 | $22.91 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | QW · Waived lab test | $28.84 | $28.84 | $28.84 |
Where California sits
The same service costs 7.1 times more in Minnesota 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· 24th of 51
$9.12
MN $46.77MD $6.61
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.