How much rates vary
Facilitymedian $23 · 10th to 90th $11 to $98Professionalmedian $10 · 10th to 90th $7 to $25
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 $10.96 Median $20.42 Typical High $66.07 | Facility | None | $10.96 | $20.42 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $17.38 | Professional | None | $10.47 | $11.48 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $7.08 | Professional | None | $5.75 | $5.75 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $56.23 | Facility | None | $14.13 | $21.88 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $24.55 | Professional | None | $6.61 | $8.51 | $24.55 |
Blue Shield Setting Facility Modifier None Typical Low $25.70 Median $75.86 Typical High $141.25 | Facility | None | $25.70 | $75.86 | $141.25 |
Blue Shield Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $15.14 | Professional | None | $5.75 | $8.13 | $15.14 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $15.14 | Professional | None | $9.12 | $9.12 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $17.38 Typical High $39.81 | Facility | None | $8.13 | $17.38 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.13 Typical High $38.02 | Professional | None | $7.94 | $14.13 | $38.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $12.59 | Professional | None | $8.51 | $12.59 | $12.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $30.90 | Professional | None | $9.55 | $11.48 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $17.38 | Professional | None | $10.00 | $10.96 | $17.38 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $13.80 | Professional | None | $6.92 | $6.92 | $13.80 |
Providence Setting Facility Modifier None Typical Low $9.33 Median $14.13 Typical High $34.67 | Facility | None | $9.33 | $14.13 | $34.67 |
Providence Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $29.51 | Professional | None | $8.51 | $13.80 | $29.51 |
Sutter Health Plus Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $11.48 | Facility | None | $4.79 | $4.79 | $11.48 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $30.90 | Professional | None | $4.79 | $6.92 | $30.90 |
8 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 $5.37 Median $14.13 Typical High $33.88 | Facility | 52 · Reduced service | $5.37 | $14.13 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $5.62 Typical High $13.49 | Facility | 53 · Discontinued | $2.19 | $5.62 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $4.90 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.24 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $7.94 Median $15.14 Typical High $16.60 | Professional | QW · Waived lab test | $7.94 | $15.14 | $16.60 |
HealthNet Setting Professional Modifier 59 · Distinct service Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 59 · Distinct service | $338.84 | $338.84 | $338.84 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $9.12 Median $13.18 Typical High $32.36 | Professional | QW · Waived lab test | $9.12 | $13.18 | $32.36 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | QW · Waived lab test | $40.74 | $40.74 | $40.74 |
Where California sits
The same service costs 5.2 times more in Minnesota 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· 29th of 51
$11.48
MN $45.71MD $8.71
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.