How much rates vary
Facilitymedian $63 · 10th to 90th $29 to $182Professionalmedian $42 · 10th to 90th $6 to $245
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 $41.69 Median $95.50 Typical High $257.04 | Facility | None | $41.69 | $95.50 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $61.66 | Professional | None | $41.69 | $45.71 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $35.48 | Professional | None | $18.62 | $20.89 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $120.23 Typical High $208.93 | Facility | None | $6.03 | $120.23 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $11.48 | Professional | None | $5.89 | $5.89 | $11.48 |
Blue Shield Setting Facility Modifier None Typical Low $26.92 Median $63.10 Typical High $107.15 | Facility | None | $26.92 | $63.10 | $107.15 |
Blue Shield Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $20.42 | Professional | None | $5.75 | $8.13 | $20.42 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $70.79 | Professional | None | $33.11 | $37.15 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $61.66 Typical High $138.04 | Facility | None | $30.90 | $61.66 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $48.98 Typical High $208.93 | Professional | None | $24.55 | $48.98 | $208.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $56.23 | Professional | None | $41.69 | $45.71 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $109.65 | Professional | None | $37.15 | $47.86 | $109.65 |
Lucent Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | None | $204.17 | $204.17 | $309.03 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $57.54 Typical High $112.20 | Facility | None | $35.48 | $57.54 | $112.20 |
Providence Setting Professional Modifier None Typical Low $24.55 Median $50.12 Typical High $208.93 | Professional | None | $24.55 | $50.12 | $208.93 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $41.69 | Facility | None | $17.38 | $17.38 | $41.69 |
United Setting Professional Modifier None Typical Low $27.54 Median $41.69 Typical High $208.93 | Professional | None | $27.54 | $41.69 | $208.93 |
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 $20.89 Median $52.48 Typical High $138.04 | Facility | 52 · Reduced service | $20.89 | $52.48 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $20.89 Typical High $56.23 | Facility | 53 · Discontinued | $8.32 | $20.89 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $20.89 Median $37.15 Typical High $41.69 | Professional | QW · Waived lab test | $20.89 | $37.15 | $41.69 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $41.69 Median $57.54 Typical High $60.26 | Professional | QW · Waived lab test | $41.69 | $57.54 | $60.26 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $37.15 Median $56.23 Typical High $114.82 | Professional | QW · Waived lab test | $37.15 | $56.23 | $114.82 |
Where California sits
The same service costs 3.2 times more in Alaska than in Ohio. 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· 31st of 51
$41.69
AK $89.13OH $27.54
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.