How much rates vary
Facilitymedian $9 · 10th to 90th $1 to $32Professionalmedian $4 · 10th to 90th $3 to $9
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 $4.57 Median $9.33 Typical High $31.62 | Facility | None | $4.57 | $9.33 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.68 Typical High $7.08 | Professional | None | $4.17 | $4.68 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $2.09 Median $2.34 Typical High $5.25 | Professional | None | $2.09 | $2.34 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.25 Median $8.13 Typical High $21.38 | Facility | None | $5.25 | $8.13 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.88 Typical High $8.91 | Professional | None | $2.57 | $2.88 | $8.91 |
Blue Shield Setting Facility Modifier None Typical Low $10.23 Median $36.31 Typical High $61.66 | Facility | None | $10.23 | $36.31 | $61.66 |
Blue Shield Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $5.25 | Professional | None | $2.45 | $3.47 | $5.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $5.62 | Professional | None | $3.47 | $3.47 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $6.46 Typical High $14.45 | Facility | None | $2.95 | $6.46 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $4.79 Typical High $12.88 | Professional | None | $2.88 | $4.79 | $12.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.47 Median $4.68 Typical High $4.68 | Professional | None | $3.47 | $4.68 | $4.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.63 Median $4.27 Typical High $12.02 | Professional | None | $3.63 | $4.27 | $12.02 |
Lucent Health Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $18.20 | Professional | None | $3.72 | $5.37 | $18.20 |
Molina Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Providence Setting Facility Modifier None Typical Low $3.47 Median $5.37 Typical High $13.49 | Facility | None | $3.47 | $5.37 | $13.49 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $4.68 Typical High $9.77 | Professional | None | $2.95 | $4.68 | $9.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
United Setting Facility Modifier None Typical Low $1.26 Median $1.82 Typical High $10.47 | Facility | None | $1.26 | $1.82 | $10.47 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.39 Typical High $10.96 | Professional | None | $2.57 | $3.39 | $10.96 |
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 $2.29 Median $6.03 Typical High $14.45 | Facility | 52 · Reduced service | $2.29 | $6.03 | $14.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.91 Median $2.40 Typical High $5.75 | Facility | 53 · Discontinued | $0.91 | $2.40 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $2.34 Typical High $2.34 | Professional | 52 · Reduced service | $1.78 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.93 Typical High $0.93 | Professional | 53 · Discontinued | $0.71 | $0.93 | $0.93 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $2.95 Median $5.62 Typical High $6.17 | Professional | QW · Waived lab test | $2.95 | $5.62 | $6.17 |
HealthNet Setting Professional Modifier QW · Waived lab test Typical Low $13.49 Median $13.49 Typical High $69.18 | Professional | QW · Waived lab test | $13.49 | $13.49 | $69.18 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $3.47 Median $4.90 Typical High $12.02 | Professional | QW · Waived lab test | $3.47 | $4.90 | $12.02 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | QW · Waived lab test | $15.14 | $15.14 | $15.14 |
Where California sits
The same service costs 14.8 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· 27th of 51
$4.68
MN $51.29MD $3.47
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.