How much rates vary
Facilitymedian $13 · 10th to 90th $5 to $50Professionalmedian $5 · 10th to 90th $3 to $15
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 $5.37 Median $13.18 Typical High $33.11 | Facility | None | $5.37 | $13.18 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.50 Typical High $9.33 | Professional | None | $4.79 | $5.50 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $11.22 Typical High $30.90 | Facility | None | $7.76 | $11.22 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.72 Typical High $15.49 | Professional | None | $3.24 | $3.72 | $15.49 |
Blue Shield Setting Facility Modifier None Typical Low $13.18 Median $41.69 Typical High $69.18 | Facility | None | $13.18 | $41.69 | $69.18 |
Blue Shield Setting Professional Modifier None Typical Low $2.82 Median $4.07 Typical High $6.92 | Professional | None | $2.82 | $4.07 | $6.92 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $8.13 | Professional | None | $5.01 | $5.01 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $9.33 Typical High $20.89 | Facility | None | $4.17 | $9.33 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.17 Typical High $15.14 | Professional | None | $3.31 | $6.17 | $15.14 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.89 Median $6.92 Typical High $6.92 | Professional | None | $3.89 | $6.92 | $6.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $16.60 | Professional | None | $5.01 | $6.46 | $16.60 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Providence Setting Facility Modifier None Typical Low $4.37 Median $7.41 Typical High $18.62 | Facility | None | $4.37 | $7.41 | $18.62 |
Providence Setting Professional Modifier None Typical Low $3.31 Median $5.89 Typical High $12.59 | Professional | None | $3.31 | $5.89 | $12.59 |
Sutter Health Plus Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
United Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $6.17 | Facility | None | $2.63 | $2.63 | $6.17 |
United Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $14.45 | Professional | None | $3.72 | $4.07 | $14.45 |
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 $2.69 Median $6.92 Typical High $16.60 | Facility | 52 · Reduced service | $2.69 | $6.92 | $16.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $2.75 Typical High $6.61 | Facility | 53 · Discontinued | $1.07 | $2.75 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.75 Typical High $2.75 | Professional | 52 · Reduced service | $2.34 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.10 Typical High $1.10 | Professional | 53 · Discontinued | $0.95 | $1.10 | $1.10 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $4.27 Median $8.13 Typical High $9.12 | Professional | QW · Waived lab test | $4.27 | $8.13 | $9.12 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $5.01 Median $7.41 Typical High $17.38 | Professional | QW · Waived lab test | $5.01 | $7.41 | $17.38 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | QW · Waived lab test | $21.88 | $21.88 | $21.88 |
Where California sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 33rd of 51
$5.50
AK $14.13AL $3.98
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.