How much rates vary
Facilitymedian $10 · 10th to 90th $1 to $39Professionalmedian $4 · 10th to 90th $3 to $11
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 $5.75 Median $13.49 Typical High $36.31 | Facility | None | $5.75 | $13.49 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.89 Typical High $7.41 | Professional | None | $4.90 | $5.89 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $1.66 Median $3.02 Typical High $7.94 | Professional | None | $1.66 | $3.02 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $9.33 Typical High $24.55 | Facility | None | $6.17 | $9.33 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $3.63 Typical High $11.22 | Professional | None | $3.02 | $3.63 | $11.22 |
Blue Shield Setting Facility Modifier None Typical Low $12.88 Median $45.71 Typical High $74.13 | Facility | None | $12.88 | $45.71 | $74.13 |
Blue Shield Setting Professional Modifier None Typical Low $3.09 Median $4.37 Typical High $7.94 | Professional | None | $3.09 | $4.37 | $7.94 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $6.46 | Professional | None | $3.98 | $3.98 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $7.41 Typical High $16.98 | Facility | None | $3.47 | $7.41 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $5.25 Typical High $16.22 | Professional | None | $3.16 | $5.25 | $16.22 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.98 Median $5.50 Typical High $5.50 | Professional | None | $3.98 | $5.50 | $5.50 |
HealthNet Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.47 Median $4.90 Typical High $13.18 | Professional | None | $4.47 | $4.90 | $13.18 |
Lucent Health Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $7.41 | Professional | None | $4.07 | $5.50 | $7.41 |
Molina Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $5.89 | Professional | None | $2.95 | $2.95 | $5.89 |
Providence Setting Facility Modifier None Typical Low $4.07 Median $6.17 Typical High $14.79 | Facility | None | $4.07 | $6.17 | $14.79 |
Providence Setting Professional Modifier None Typical Low $3.16 Median $4.90 Typical High $12.30 | Professional | None | $3.16 | $4.90 | $12.30 |
Sutter Health Plus Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
United Setting Facility Modifier None Typical Low $1.38 Median $2.09 Typical High $10.47 | Facility | None | $1.38 | $2.09 | $10.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $13.18 | Professional | None | $2.09 | $2.95 | $13.18 |
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 $2.88 Median $7.59 Typical High $18.20 | Facility | 52 · Reduced service | $2.88 | $7.59 | $18.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.15 Median $3.02 Typical High $7.24 | Facility | 53 · Discontinued | $1.15 | $3.02 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.95 Typical High $2.95 | Professional | 52 · Reduced service | $2.04 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $1.17 Typical High $1.17 | Professional | 53 · Discontinued | $0.81 | $1.17 | $1.17 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.39 Median $6.46 Typical High $7.24 | Professional | QW · Waived lab test | $3.39 | $6.46 | $7.24 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $4.17 Median $5.89 Typical High $13.80 | Professional | QW · Waived lab test | $4.17 | $5.89 | $13.80 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | QW · Waived lab test | $17.38 | $17.38 | $17.38 |
Where California sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 23rd of 51
$5.50
VT $33.88GA $3.63
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.