How much rates vary
Facilitymedian $10 · 10th to 90th $3 to $60Professionalmedian $8 · 10th to 90th $5 to $18
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 $9.12 Median $19.05 Typical High $74.13 | Facility | None | $9.12 | $19.05 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $18.20 | Professional | None | $7.76 | $9.77 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $8.51 | Professional | None | $3.55 | $4.47 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $13.80 Typical High $38.02 | Facility | None | $9.55 | $13.80 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $5.75 Typical High $17.38 | Professional | None | $4.37 | $5.75 | $17.38 |
Blue Shield Setting Facility Modifier None Typical Low $19.95 Median $66.07 Typical High $117.49 | Facility | None | $19.95 | $66.07 | $117.49 |
Blue Shield Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $12.30 | Professional | None | $4.79 | $6.92 | $12.30 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $10.00 | Professional | None | $6.17 | $6.17 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $11.75 Typical High $26.92 | Facility | None | $5.37 | $11.75 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $25.70 | Professional | None | $5.75 | $9.33 | $25.70 |
Contra Costa Health Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $8.51 | Professional | None | $6.76 | $8.51 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $21.88 | Professional | None | $6.61 | $7.76 | $21.88 |
Lucent Health Setting Professional Modifier None Typical Low $6.92 Median $10.00 Typical High $28.18 | Professional | None | $6.92 | $10.00 | $28.18 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Providence Setting Facility Modifier None Typical Low $6.46 Median $9.77 Typical High $25.12 | Facility | None | $6.46 | $9.77 | $25.12 |
Providence Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $19.50 | Professional | None | $5.75 | $9.33 | $19.50 |
Sutter Health Plus Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
United Setting Facility Modifier None Typical Low $2.63 Median $3.24 Typical High $7.59 | Facility | None | $2.63 | $3.24 | $7.59 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $20.89 | Professional | None | $3.24 | $4.68 | $20.89 |
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 $4.57 Median $11.75 Typical High $28.18 | Facility | 52 · Reduced service | $4.57 | $11.75 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $4.68 Typical High $11.22 | Facility | 53 · Discontinued | $1.82 | $4.68 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $3.31 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.32 | $1.86 | $1.86 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $5.37 Median $10.23 Typical High $11.22 | Professional | QW · Waived lab test | $5.37 | $10.23 | $11.22 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $6.17 Median $8.91 Typical High $21.88 | Professional | QW · Waived lab test | $6.17 | $8.91 | $21.88 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | QW · Waived lab test | $27.54 | $27.54 | $27.54 |
Where California sits
The same service costs 13.5 times more in Minnesota than in North Carolina. 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
$8.13
MN $83.18NC $6.17
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.