How much rates vary
Facilitymedian $15 · 10th to 90th $6 to $58Professionalmedian $4 · 10th to 90th $3 to $14
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 $4.68 Median $10.00 Typical High $37.15 | Facility | None | $4.68 | $10.00 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.50 Typical High $10.72 | Professional | None | $3.89 | $5.50 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $14.79 Typical High $38.02 | Facility | None | $9.55 | $14.79 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $12.30 | Professional | None | $3.09 | $3.09 | $12.30 |
Blue Shield Setting Facility Modifier None Typical Low $14.79 Median $45.71 Typical High $77.62 | Facility | None | $14.79 | $45.71 | $77.62 |
Blue Shield Setting Professional Modifier None Typical Low $2.04 Median $2.88 Typical High $5.01 | Professional | None | $2.04 | $2.88 | $5.01 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.57 Median $6.17 Typical High $7.08 | Professional | None | $4.57 | $6.17 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $11.75 Typical High $25.70 | Facility | None | $5.25 | $11.75 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $16.98 | Professional | None | $3.80 | $5.62 | $16.98 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.82 Median $8.51 Typical High $8.51 | Professional | None | $2.82 | $8.51 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $21.88 | Professional | None | $6.17 | $8.51 | $21.88 |
Molina Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $9.33 | Professional | None | $4.68 | $4.68 | $9.33 |
Providence Setting Facility Modifier None Typical Low $4.68 Median $9.33 Typical High $20.42 | Facility | None | $4.68 | $9.33 | $20.42 |
Providence Setting Professional Modifier None Typical Low $3.80 Median $6.76 Typical High $15.49 | Professional | None | $3.80 | $6.76 | $15.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
United Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $7.76 | Facility | None | $3.24 | $3.24 | $7.76 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.47 Typical High $18.20 | Professional | None | $3.02 | $4.47 | $18.20 |
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 $2.34 Median $6.17 Typical High $18.62 | Facility | 52 · Reduced service | $2.34 | $6.17 | $18.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.93 Median $2.45 Typical High $7.41 | Facility | 53 · Discontinued | $0.93 | $2.45 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $2.29 Typical High $3.39 | Professional | 52 · Reduced service | $1.95 | $2.29 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.93 Typical High $1.35 | Professional | 53 · Discontinued | $0.78 | $0.93 | $1.35 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $5.37 Median $10.00 Typical High $11.22 | Professional | QW · Waived lab test | $5.37 | $10.00 | $11.22 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $6.17 Median $9.33 Typical High $21.88 | Professional | QW · Waived lab test | $6.17 | $9.33 | $21.88 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | QW · Waived lab test | $27.54 | $27.54 | $27.54 |
Where California sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 45th of 51
$5.75
AK $17.38KY $4.68
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.