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 $9.77 Median $11.22 Typical High $18.62 | Professional | None | $9.77 | $11.22 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $38.90 Typical High $107.15 | Facility | None | $26.92 | $38.90 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $13.18 Typical High $21.88 | Professional | None | $7.24 | $13.18 | $21.88 |
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 $10.23 Median $17.38 Typical High $19.50 | Professional | None | $10.23 | $17.38 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $35.48 Typical High $72.44 | Facility | None | $14.45 | $35.48 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $19.50 Typical High $40.74 | Professional | None | $8.91 | $19.50 | $40.74 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $23.99 Typical High $23.99 | Professional | None | $10.00 | $23.99 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $57.54 | Professional | None | $17.38 | $22.39 | $57.54 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $26.30 | Professional | None | $13.18 | $13.18 | $26.30 |
Providence Setting Facility Modifier None Typical Low $13.18 Median $25.12 Typical High $63.10 | Facility | None | $13.18 | $25.12 | $63.10 |
Providence Setting Professional Modifier None Typical Low $8.91 Median $18.62 Typical High $43.65 | Professional | None | $8.91 | $18.62 | $43.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $21.88 | Facility | None | $9.12 | $9.12 | $21.88 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $50.12 | Professional | None | $7.08 | $10.23 | $50.12 |
3 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $15.14 Median $28.18 Typical High $31.62 | Professional | QW · Waived lab test | $15.14 | $28.18 | $31.62 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $17.38 Median $26.30 Typical High $60.26 | Professional | QW · Waived lab test | $17.38 | $26.30 | $60.26 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | QW · Waived lab test | $75.86 | $75.86 | $75.86 |
Where California sits
The same service costs 4.7 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· 46th of 51
$14.13
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.