How much rates vary
Facilitymedian $52 · 10th to 90th $22 to $219Professionalmedian $17 · 10th to 90th $12 to $49
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 $22.91 Median $60.26 Typical High $144.54 | Facility | None | $22.91 | $60.26 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $46.77 | Professional | None | $19.95 | $23.44 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $45.71 Typical High $125.89 | Facility | None | $31.62 | $45.71 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $42.66 | Professional | None | $13.80 | $15.49 | $42.66 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $158.49 Typical High $295.12 | Facility | None | $50.12 | $158.49 | $295.12 |
Blue Shield Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $26.30 | Professional | None | $12.02 | $17.38 | $26.30 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $26.30 | Professional | None | $20.42 | $20.42 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $38.90 Typical High $83.18 | Facility | None | $16.98 | $38.90 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $25.70 Typical High $64.57 | Professional | None | $14.45 | $25.70 | $64.57 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $28.18 | Professional | None | $20.42 | $28.18 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $67.61 | Professional | None | $20.42 | $26.30 | $67.61 |
Molina Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $25.70 | Professional | None | $12.88 | $12.88 | $25.70 |
Providence Setting Facility Modifier None Typical Low $18.20 Median $30.90 Typical High $75.86 | Facility | None | $18.20 | $30.90 | $75.86 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $25.12 Typical High $52.48 | Professional | None | $14.45 | $25.12 | $52.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $25.70 | Facility | None | $10.72 | $10.72 | $25.70 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $58.88 | Professional | None | $10.72 | $15.49 | $58.88 |
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 $11.48 Median $30.20 Typical High $70.79 | Facility | 52 · Reduced service | $11.48 | $30.20 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $12.02 Typical High $28.84 | Facility | 53 · Discontinued | $4.57 | $12.02 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $9.77 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $3.89 | $4.68 | $4.68 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $17.78 Median $33.11 Typical High $37.15 | Professional | QW · Waived lab test | $17.78 | $33.11 | $37.15 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $20.42 Median $30.90 Typical High $70.79 | Professional | QW · Waived lab test | $20.42 | $30.90 | $70.79 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | QW · Waived lab test | $89.13 | $89.13 | $89.13 |
Where California sits
The same service costs 3.8 times more in Alaska than in Alabama. 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
$22.91
AK $57.54AL $15.14
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.