How much rates vary
Facilitymedian $34 · 10th to 90th $11 to $93Professionalmedian $10 · 10th to 90th $7 to $29
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 $12.59 Median $25.70 Typical High $89.13 | Facility | None | $12.59 | $25.70 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $25.12 | Professional | None | $10.23 | $12.88 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | None | $7.08 | $7.08 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $57.54 | Facility | None | $14.13 | $20.89 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $7.94 Typical High $28.18 | Professional | None | $6.92 | $7.94 | $28.18 |
Blue Shield Setting Facility Modifier None Typical Low $27.54 Median $87.10 Typical High $162.18 | Facility | None | $27.54 | $87.10 | $162.18 |
Blue Shield Setting Professional Modifier None Typical Low $6.61 Median $9.55 Typical High $16.98 | Professional | None | $6.61 | $9.55 | $16.98 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $15.14 | Professional | None | $9.33 | $9.33 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $17.38 Typical High $38.90 | Facility | None | $7.76 | $17.38 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $35.48 | Professional | None | $6.92 | $11.48 | $35.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $12.59 | Professional | None | $9.33 | $12.59 | $12.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $32.36 | Professional | None | $9.77 | $12.59 | $32.36 |
Lucent Health Setting Professional Modifier None Typical Low $15.85 Median $38.90 Typical High $60.26 | Professional | None | $15.85 | $38.90 | $60.26 |
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 $8.91 Median $14.79 Typical High $36.31 | Facility | None | $8.91 | $14.79 | $36.31 |
Providence Setting Professional Modifier None Typical Low $7.08 Median $11.48 Typical High $26.92 | Professional | None | $7.08 | $11.48 | $26.92 |
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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $29.51 | Professional | None | $4.90 | $6.92 | $29.51 |
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 $6.31 Median $16.22 Typical High $38.90 | Facility | 52 · Reduced service | $6.31 | $16.22 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $6.46 Typical High $15.49 | Facility | 53 · Discontinued | $2.51 | $6.46 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $4.79 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.57 Typical High $2.57 | Professional | 53 · Discontinued | $1.91 | $2.57 | $2.57 |
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 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $9.33 Median $13.80 Typical High $32.36 | Professional | QW · Waived lab test | $9.33 | $13.80 | $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 13.2 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· 26th of 51
$12.59
VT $115MD $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.