How much rates vary
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 $28.18 Typical High $67.61 | Facility | None | $10.96 | $28.18 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $22.91 | Professional | None | $10.23 | $11.22 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $75.86 | Facility | None | $19.05 | $27.54 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $21.38 | Professional | None | $6.61 | $9.12 | $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 $15.14 | Professional | None | $5.75 | $8.13 | $15.14 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $14.13 | Professional | None | $10.23 | $12.30 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $25.12 Typical High $51.29 | Facility | None | $10.23 | $25.12 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $12.88 Typical High $39.81 | Professional | None | $8.13 | $12.88 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $16.98 | Professional | None | $10.00 | $16.98 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $40.74 | Professional | None | $12.30 | $15.85 | $40.74 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $18.20 | Professional | None | $9.12 | $9.12 | $18.20 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $17.78 Typical High $44.67 | Facility | None | $12.02 | $17.78 | $44.67 |
Providence Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $30.90 | Professional | None | $8.13 | $13.80 | $30.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
United Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $15.14 | Facility | None | $6.46 | $6.46 | $15.14 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $35.48 | Professional | None | $6.46 | $9.12 | $35.48 |
4 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 90 · Outside lab | $18.20 | $18.20 | $18.20 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $10.47 Median $19.95 Typical High $22.39 | Professional | QW · Waived lab test | $10.47 | $19.95 | $22.39 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $12.30 Median $18.20 Typical High $42.66 | Professional | QW · Waived lab test | $12.30 | $18.20 | $42.66 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | QW · Waived lab test | $53.70 | $53.70 | $53.70 |
Where California sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 39th of 51
$12.02
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.