How much rates vary
Facilitymedian $30 · 10th to 90th $13 to $145Professionalmedian $14 · 10th to 90th $8 to $95
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 $14.13 Median $37.15 Typical High $89.13 | Facility | None | $14.13 | $37.15 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $16.98 | Professional | None | $12.88 | $14.45 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $21.88 Typical High $60.26 | Facility | None | $15.14 | $21.88 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $48.98 | Professional | None | $8.71 | $9.55 | $48.98 |
Blue Shield Setting Facility Modifier None Typical Low $31.62 Median $102.33 Typical High $194.98 | Facility | None | $31.62 | $102.33 | $194.98 |
Blue Shield Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $33.11 | Professional | None | $7.59 | $10.72 | $33.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $18.62 | Professional | None | $9.77 | $10.96 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $21.88 Typical High $43.65 | Facility | None | $10.00 | $21.88 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $14.79 Typical High $66.07 | Professional | None | $8.13 | $14.79 | $66.07 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $16.60 | Professional | None | $10.96 | $13.49 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $32.36 | Professional | None | $10.96 | $14.13 | $32.36 |
Lucent Health Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | None | $91.20 | $107.15 | $107.15 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Providence Setting Facility Modifier None Typical Low $11.22 Median $20.42 Typical High $40.74 | Facility | None | $11.22 | $20.42 | $40.74 |
Providence Setting Professional Modifier None Typical Low $8.13 Median $14.79 Typical High $66.07 | Professional | None | $8.13 | $14.79 | $66.07 |
Sutter Health Plus Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $12.30 | Facility | None | $5.13 | $5.13 | $12.30 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $47.86 | Professional | None | $5.13 | $7.41 | $47.86 |
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 QW · Waived lab test Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | QW · Waived lab test | $7.08 | $7.08 | $8.32 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $12.30 Median $16.98 Typical High $17.78 | Professional | QW · Waived lab test | $12.30 | $16.98 | $17.78 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $10.96 Median $16.60 Typical High $33.88 | Professional | QW · Waived lab test | $10.96 | $16.60 | $33.88 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | QW · Waived lab test | $42.66 | $42.66 | $42.66 |
Where California sits
The same service costs 3.1 times more in Alaska than in Florida. 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· 9th of 51
$16.60
AK $27.54FL $8.91
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.