How much rates vary
Facilitymedian $26 · 10th to 90th $11 to $126Professionalmedian $13 · 10th to 90th $6 to $35
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 $33.11 Typical High $87.10 | Facility | None | $14.13 | $33.11 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.45 Typical High $18.20 | Professional | None | $12.59 | $14.45 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $58.88 | Facility | None | $14.79 | $21.38 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $36.31 | Professional | None | $5.89 | $8.51 | $36.31 |
Blue Shield Setting Facility Modifier None Typical Low $30.90 Median $95.50 Typical High $181.97 | Facility | None | $30.90 | $95.50 | $181.97 |
Blue Shield Setting Professional Modifier None Typical Low $7.41 Median $10.72 Typical High $19.05 | Professional | None | $7.41 | $10.72 | $19.05 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $15.85 | Professional | None | $9.55 | $9.55 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $18.20 Typical High $41.69 | Facility | None | $8.51 | $18.20 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $39.81 | Professional | None | $9.12 | $14.79 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $13.18 | Professional | None | $12.02 | $13.18 | $13.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $33.88 | Professional | None | $10.23 | $13.18 | $33.88 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $14.45 | Professional | None | $7.24 | $7.24 | $14.45 |
Providence Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $36.31 | Facility | None | $10.00 | $15.14 | $36.31 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $27.54 | Professional | None | $9.12 | $14.45 | $27.54 |
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 $5.01 Median $5.01 Typical High $12.02 | Facility | None | $5.01 | $5.01 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $32.36 | Professional | None | $5.01 | $7.24 | $32.36 |
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 $7.08 Median $18.20 Typical High $43.65 | Facility | 52 · Reduced service | $7.08 | $18.20 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $7.41 Typical High $17.38 | Facility | 53 · Discontinued | $2.82 | $7.41 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $5.13 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.04 | $2.88 | $2.88 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $8.32 Median $15.85 Typical High $17.38 | Professional | QW · Waived lab test | $8.32 | $15.85 | $17.38 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $9.55 Median $14.45 Typical High $33.88 | Professional | QW · Waived lab test | $9.55 | $14.45 | $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 4.0 times more in Alaska than in Georgia. 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· 18th of 51
$14.45
AK $33.11GA $8.32
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.