How much rates vary
Facilitymedian $32 · 10th to 90th $13 to $100Professionalmedian $11 · 10th to 90th $7 to $26
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 $10.96 Median $26.92 Typical High $67.61 | Facility | None | $10.96 | $26.92 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.59 Typical High $23.99 | Professional | None | $10.96 | $12.59 | $23.99 |
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 $6.76 Median $6.76 Typical High $22.39 | Professional | None | $6.76 | $6.76 | $22.39 |
Blue Shield Setting Facility Modifier None Typical Low $26.92 Median $75.86 Typical High $141.25 | Facility | None | $26.92 | $75.86 | $141.25 |
Blue Shield Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $12.59 | Professional | None | $5.75 | $8.13 | $12.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $21.38 | Professional | None | $13.49 | $13.49 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $25.70 Typical High $56.23 | Facility | None | $11.22 | $25.70 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $39.81 | Professional | None | $8.91 | $16.98 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.13 Median $18.62 Typical High $18.62 | Professional | None | $8.13 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $44.67 | Professional | None | $13.49 | $18.62 | $44.67 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $19.95 | Professional | None | $10.00 | $10.00 | $19.95 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $44.67 | Facility | None | $10.96 | $19.95 | $44.67 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $15.49 Typical High $33.88 | Professional | None | $9.12 | $15.49 | $33.88 |
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 $7.08 Median $7.08 Typical High $16.98 | Facility | None | $7.08 | $7.08 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $38.90 | Professional | None | $7.08 | $10.00 | $38.90 |
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 $5.37 Median $14.13 Typical High $33.88 | Facility | 52 · Reduced service | $5.37 | $14.13 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $5.62 Typical High $13.49 | Facility | 53 · Discontinued | $2.19 | $5.62 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.62 Typical High $7.24 | Professional | 52 · Reduced service | $4.90 | $5.62 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.88 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.88 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $8.32 Median $8.32 Typical High $18.62 | Professional | QW · Waived lab test | $8.32 | $8.32 | $18.62 |
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 $19.95 Typical High $46.77 | Professional | QW · Waived lab test | $13.49 | $19.95 | $46.77 |
Where California sits
The same service costs 3.6 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· 44th of 51
$13.18
AK $38.02AL $10.47
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.