How much rates vary
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 $19.50 Median $51.29 Typical High $123.03 | Facility | None | $19.50 | $51.29 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $22.39 Typical High $33.88 | Professional | None | $19.50 | $22.39 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $17.78 | Professional | None | $11.22 | $17.78 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $40.74 Typical High $109.65 | Facility | None | $27.54 | $40.74 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $35.48 | Professional | None | $8.91 | $11.75 | $35.48 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $134.90 Typical High $257.04 | Facility | None | $44.67 | $134.90 | $257.04 |
Blue Shield Setting Professional Modifier None Typical Low $10.23 Median $14.79 Typical High $22.39 | Professional | None | $10.23 | $14.79 | $22.39 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | None | $17.78 | $17.78 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $36.31 Typical High $72.44 | Facility | None | $15.14 | $36.31 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $23.99 Typical High $54.95 | Professional | None | $12.30 | $23.99 | $54.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $24.55 | Professional | None | $17.78 | $24.55 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $60.26 | Professional | None | $19.05 | $23.44 | $60.26 |
Molina Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $26.92 | Professional | None | $13.49 | $13.49 | $26.92 |
Providence Setting Facility Modifier None Typical Low $14.13 Median $26.92 Typical High $63.10 | Facility | None | $14.13 | $26.92 | $63.10 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $21.88 Typical High $44.67 | Professional | None | $12.30 | $21.88 | $44.67 |
Sutter Health Plus Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $22.39 | Facility | None | $9.33 | $9.33 | $22.39 |
United Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $52.48 | Professional | None | $13.49 | $14.45 | $52.48 |
3 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $15.49 Median $29.51 Typical High $32.36 | Professional | QW · Waived lab test | $15.49 | $29.51 | $32.36 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $17.78 Median $26.92 Typical High $63.10 | Professional | QW · Waived lab test | $17.78 | $26.92 | $63.10 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | QW · Waived lab test | $79.43 | $79.43 | $79.43 |
Where California sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 37th of 51
$19.95
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.