How much rates vary
Facilitymedian $30 · 10th to 90th $14 to $151Professionalmedian $13 · 10th to 90th $9 to $33
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 $15.14 Median $30.90 Typical High $102.33 | Facility | None | $15.14 | $30.90 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $22.39 | Professional | None | $14.13 | $16.98 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $15.85 | Professional | None | $6.61 | $8.51 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $25.70 Typical High $70.79 | Facility | None | $17.38 | $25.70 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $32.36 | Professional | None | $8.71 | $10.47 | $32.36 |
Blue Shield Setting Facility Modifier None Typical Low $37.15 Median $114.82 Typical High $213.80 | Facility | None | $37.15 | $114.82 | $213.80 |
Blue Shield Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $19.05 | Professional | None | $8.91 | $12.59 | $19.05 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $18.62 | Professional | None | $11.48 | $11.48 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $21.38 Typical High $51.29 | Facility | None | $10.00 | $21.38 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $47.86 | Professional | None | $9.33 | $15.49 | $47.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | None | $12.59 | $15.85 | $15.85 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $39.81 | Professional | None | $12.02 | $14.13 | $39.81 |
Lucent Health Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $29.51 | Professional | None | $12.30 | $18.62 | $29.51 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $16.98 | Professional | None | $8.51 | $8.51 | $16.98 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $18.20 Typical High $47.86 | Facility | None | $11.75 | $18.20 | $47.86 |
Providence Setting Professional Modifier None Typical Low $9.33 Median $14.13 Typical High $35.48 | Professional | None | $9.33 | $14.13 | $35.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $14.13 | Facility | None | $6.03 | $6.03 | $14.13 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $38.02 | Professional | None | $6.03 | $8.51 | $38.02 |
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 $8.32 Median $21.88 Typical High $52.48 | Facility | 52 · Reduced service | $8.32 | $21.88 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $8.71 Typical High $20.89 | Facility | 53 · Discontinued | $3.31 | $8.71 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $5.75 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $2.29 | $3.39 | $3.39 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $9.77 Median $18.62 Typical High $20.89 | Professional | QW · Waived lab test | $9.77 | $18.62 | $20.89 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $12.02 Median $16.98 Typical High $39.81 | Professional | QW · Waived lab test | $12.02 | $16.98 | $39.81 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QW · Waived lab test | $50.12 | $50.12 | $50.12 |
Where California sits
The same service costs 9.5 times more in Vermont than in Indiana. 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· 23rd of 51
$16.22
VT $107IN $11.22
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.