How much rates vary
Facilitymedian $36 · 10th to 90th $6 to $120Professionalmedian $17 · 10th to 90th $10 to $39
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 $18.62 Median $38.02 Typical High $123.03 | Facility | None | $18.62 | $38.02 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $34.67 | Professional | None | $16.98 | $19.95 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $8.32 Typical High $18.62 | Professional | None | $7.94 | $8.32 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $83.18 | Facility | None | $20.89 | $30.20 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $38.02 | Professional | None | $9.55 | $12.59 | $38.02 |
Blue Shield Setting Facility Modifier None Typical Low $42.66 Median $134.90 Typical High $251.19 | Facility | None | $42.66 | $134.90 | $251.19 |
Blue Shield Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $26.92 | Professional | None | $10.47 | $14.79 | $26.92 |
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 $11.75 Median $25.12 Typical High $60.26 | Facility | None | $11.75 | $25.12 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $20.42 Typical High $54.95 | Professional | None | $11.48 | $20.42 | $54.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.79 Median $18.62 Typical High $18.62 | Professional | None | $14.79 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $44.67 | Professional | None | $14.13 | $16.98 | $44.67 |
Lucent Health Setting Professional Modifier None Typical Low $15.14 Median $20.42 Typical High $52.48 | Professional | None | $15.14 | $20.42 | $52.48 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $54.95 | Facility | None | $13.80 | $20.89 | $54.95 |
Providence Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $42.66 | Professional | None | $12.59 | $19.95 | $42.66 |
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 $5.89 Median $7.08 Typical High $60.26 | Facility | None | $5.89 | $7.08 | $60.26 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $44.67 | Professional | None | $7.08 | $10.00 | $44.67 |
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 $9.77 Median $25.70 Typical High $61.66 | Facility | 52 · Reduced service | $9.77 | $25.70 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $10.23 Typical High $24.55 | Facility | 53 · Discontinued | $3.89 | $10.23 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $7.08 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $2.88 | $3.98 | $3.98 |
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 $19.50 Typical High $46.77 | Professional | QW · Waived lab test | $13.49 | $19.50 | $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 7.8 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· 17th of 51
$19.95
VT $105MD $13.49
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.