How much rates vary
Facilitymedian $158 · 10th to 90th $68 to $692Professionalmedian $83 · 10th to 90th $44 to $363
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 $72.44 Median $169.82 Typical High $446.68 | Facility | None | $72.44 | $169.82 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $104.71 | Professional | None | $70.79 | $74.13 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $125.89 Typical High $346.74 | Facility | None | $87.10 | $125.89 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $91.20 Typical High $281.84 | Professional | None | $43.65 | $91.20 | $281.84 |
Blue Shield Setting Facility Modifier None Typical Low $114.82 Median $501.19 Typical High $933.25 | Facility | None | $114.82 | $501.19 | $933.25 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $147.91 | Professional | None | $39.81 | $56.23 | $147.91 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $107.15 | Professional | None | $56.23 | $63.10 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $125.89 Typical High $251.19 | Facility | None | $58.88 | $125.89 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $93.33 Typical High $354.81 | Professional | None | $45.71 | $93.33 | $354.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $95.50 | Professional | None | $63.10 | $77.62 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $186.21 | Professional | None | $63.10 | $81.28 | $186.21 |
Lucent Health Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $524.81 | Professional | None | $354.81 | $524.81 | $524.81 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $229.09 | Facility | None | $64.57 | $102.33 | $229.09 |
Providence Setting Professional Modifier None Typical Low $46.77 Median $93.33 Typical High $354.81 | Professional | None | $46.77 | $93.33 | $354.81 |
Sutter Health Plus Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $70.79 | Facility | None | $29.51 | $29.51 | $70.79 |
United Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $275.42 | Professional | None | $29.51 | $41.69 | $275.42 |
6 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 $36.31 Median $93.33 Typical High $223.87 | Facility | 52 · Reduced service | $36.31 | $93.33 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $37.15 Typical High $89.13 | Facility | 53 · Discontinued | $14.45 | $37.15 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $30.20 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $12.02 | $14.79 | $14.79 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $63.10 Median $95.50 Typical High $194.98 | Professional | QW · Waived lab test | $63.10 | $95.50 | $194.98 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | QW · Waived lab test | $245.47 | $245.47 | $245.47 |
Where California sits
The same service costs 4.0 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· 10th of 51
$91.20
AK $158AL $39.81
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.