How much rates vary
Facilitymedian $35 · 10th to 90th $15 to $158Professionalmedian $13 · 10th to 90th $10 to $38
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 $17.78 Median $41.69 Typical High $107.15 | Facility | None | $17.78 | $41.69 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $17.78 Typical High $18.20 | Professional | None | $12.88 | $17.78 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $10.00 Typical High $10.47 | Professional | None | $8.32 | $10.00 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $83.18 | Facility | None | $20.42 | $30.20 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $33.88 | Professional | None | $10.00 | $11.22 | $33.88 |
Blue Shield Setting Facility Modifier None Typical Low $39.81 Median $120.23 Typical High $229.09 | Facility | None | $39.81 | $120.23 | $229.09 |
Blue Shield Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $21.88 | Professional | None | $9.33 | $13.49 | $21.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $21.88 | Professional | None | $13.49 | $13.49 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $25.12 Typical High $54.95 | Facility | None | $11.22 | $25.12 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $19.50 Typical High $50.12 | Professional | None | $11.22 | $19.50 | $50.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $18.62 | Professional | None | $13.49 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $46.77 | Professional | None | $14.13 | $18.62 | $46.77 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $19.95 | Professional | None | $10.00 | $10.00 | $19.95 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $50.12 | Facility | None | $12.59 | $19.95 | $50.12 |
Providence Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $38.02 | Professional | None | $11.22 | $17.78 | $38.02 |
Sutter Health Plus Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $16.60 | Facility | None | $7.08 | $7.08 | $16.60 |
United Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $41.69 | Professional | None | $10.00 | $12.88 | $41.69 |
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 $8.71 Median $22.91 Typical High $54.95 | Facility | 52 · Reduced service | $8.71 | $22.91 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $9.12 Typical High $21.88 | Facility | 53 · Discontinued | $3.55 | $9.12 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $6.76 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $2.69 | $3.63 | $3.63 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $21.88 Typical High $24.55 | Professional | QW · Waived lab test | $11.48 | $21.88 | $24.55 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $13.49 Median $19.95 Typical High $46.77 | Professional | QW · Waived lab test | $13.49 | $19.95 | $46.77 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | QW · Waived lab test | $58.88 | $58.88 | $58.88 |
Where California sits
The same service costs 3.0 times more in South Carolina than in Indiana. 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· 31st of 51
$16.60
SC $39.81IN $13.18
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.