How much rates vary
Facilitymedian $372 · 10th to 90th $107 to $1,318Professionalmedian $141 · 10th to 90th $63 to $912
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 $141.25 Median $331.13 Typical High $870.96 | Facility | None | $141.25 | $331.13 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $213.80 | Professional | None | $141.25 | $154.88 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $229.09 | Professional | None | $112.20 | $112.20 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $416.87 Typical High $724.44 | Facility | None | $64.57 | $416.87 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $120.23 | Professional | None | $63.10 | $63.10 | $120.23 |
Blue Shield Setting Facility Modifier None Typical Low $186.21 Median $812.83 Typical High $1,548.82 | Facility | None | $186.21 | $812.83 | $1,548.82 |
Blue Shield Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $165.96 | Professional | None | $44.67 | $63.10 | $165.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $239.88 | Professional | None | $114.82 | $128.82 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $213.80 Typical High $478.63 | Facility | None | $107.15 | $213.80 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $724.44 | Professional | None | $85.11 | $169.82 | $724.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $190.55 | Professional | None | $141.25 | $158.49 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $380.19 | Professional | None | $128.82 | $162.18 | $380.19 |
Lucent Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,071.52 | Professional | None | $707.95 | $707.95 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $389.05 | Facility | None | $123.03 | $199.53 | $389.05 |
Providence Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $724.44 | Professional | None | $85.11 | $169.82 | $724.44 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $141.25 | Facility | None | $60.26 | $60.26 | $141.25 |
United Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $724.44 | Professional | None | $66.07 | $95.50 | $724.44 |
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 $70.79 Median $181.97 Typical High $446.68 | Facility | 52 · Reduced service | $70.79 | $181.97 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $72.44 Typical High $190.55 | Facility | 53 · Discontinued | $28.84 | $72.44 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $199.53 Typical High $208.93 | Professional | QW · Waived lab test | $141.25 | $199.53 | $208.93 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $128.82 Median $186.21 Typical High $398.11 | Professional | QW · Waived lab test | $128.82 | $186.21 | $398.11 |
Where California sits
The same service costs 4.3 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· 30th of 51
$141
AK $295AL $69.18
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.