How much rates vary
Facilitymedian $32 · 10th to 90th $13 to $105Professionalmedian $12 · 10th to 90th $7 to $25
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 $12.88 Typical High $23.99 | Professional | None | $10.96 | $12.88 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $13.18 | Professional | None | $8.32 | $8.32 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $29.51 Typical High $81.28 | Facility | None | $20.42 | $29.51 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $10.00 Typical High $21.38 | Professional | None | $6.61 | $10.00 | $21.38 |
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 $9.12 Median $13.18 Typical High $14.79 | Professional | None | $9.12 | $13.18 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $25.12 Typical High $54.95 | Facility | None | $10.96 | $25.12 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.60 Typical High $39.81 | Professional | None | $8.91 | $16.60 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.91 Median $18.20 Typical High $18.20 | Professional | None | $8.91 | $18.20 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $44.67 | Professional | None | $14.13 | $18.20 | $44.67 |
Lucent Health Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $67.61 | Professional | None | $19.05 | $26.30 | $67.61 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Providence Setting Facility Modifier None Typical Low $11.22 Median $19.95 Typical High $48.98 | Facility | None | $11.22 | $19.95 | $48.98 |
Providence Setting Professional Modifier None Typical Low $8.91 Median $15.49 Typical High $33.11 | Professional | None | $8.91 | $15.49 | $33.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $16.60 | Facility | None | $6.92 | $6.92 | $16.60 |
United Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $44.67 | Professional | None | $14.13 | $14.79 | $44.67 |
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 $7.08 | Professional | 52 · Reduced service | $4.90 | $5.62 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.82 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.82 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $21.38 Typical High $23.99 | Professional | QW · Waived lab test | $11.48 | $21.38 | $23.99 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $13.18 Median $19.95 Typical High $46.77 | Professional | QW · Waived lab test | $13.18 | $19.95 | $46.77 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | QW · Waived lab test | $57.54 | $57.54 | $57.54 |
Where California sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 45th of 51
$14.13
AK $37.15NJ $11.48
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.