How much rates vary
Facilitymedian $54 · 10th to 90th $19 to $162Professionalmedian $19 · 10th to 90th $11 to $44
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 $21.88 Median $40.74 Typical High $131.83 | Facility | None | $21.88 | $40.74 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $29.51 | Professional | None | $18.62 | $22.39 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $22.39 | Professional | None | $8.51 | $9.33 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $33.11 Typical High $91.20 | Facility | None | $22.91 | $33.11 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $41.69 | Professional | None | $11.22 | $13.80 | $41.69 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $147.91 Typical High $281.84 | Facility | None | $44.67 | $147.91 | $281.84 |
Blue Shield Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $25.12 | Professional | None | $11.48 | $16.60 | $25.12 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $23.99 | Professional | None | $14.79 | $14.79 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $28.18 Typical High $66.07 | Facility | None | $12.88 | $28.18 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $22.39 Typical High $61.66 | Professional | None | $12.88 | $22.39 | $61.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $20.42 | Professional | None | $16.60 | $20.42 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $50.12 | Professional | None | $15.85 | $18.62 | $50.12 |
Lucent Health Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $26.30 | Professional | None | $15.85 | $17.78 | $26.30 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $22.39 | Professional | None | $11.22 | $11.22 | $22.39 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $23.44 Typical High $56.23 | Facility | None | $15.14 | $23.44 | $56.23 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $21.88 Typical High $46.77 | Professional | None | $13.80 | $21.88 | $46.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $50.12 | Professional | None | $7.76 | $11.22 | $50.12 |
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 $10.96 Median $28.18 Typical High $67.61 | Facility | 52 · Reduced service | $10.96 | $28.18 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $11.22 Typical High $26.92 | Facility | 53 · Discontinued | $4.37 | $11.22 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $7.94 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.16 | $4.47 | $4.47 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $12.88 Median $23.99 Typical High $26.92 | Professional | QW · Waived lab test | $12.88 | $23.99 | $26.92 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $14.79 Median $21.38 Typical High $52.48 | Professional | QW · Waived lab test | $14.79 | $21.38 | $52.48 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | QW · Waived lab test | $64.57 | $64.57 | $64.57 |
Where California sits
The same service costs 6.8 times more in Vermont 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· 21st of 51
$21.88
VT $95.50MD $14.13
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.