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 $14.45 Median $38.02 Typical High $112.20 | Facility | None | $14.45 | $38.02 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $27.54 | Professional | None | $14.45 | $16.60 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $33.11 Typical High $91.20 | Facility | None | $22.39 | $33.11 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $12.59 Typical High $30.20 | Professional | None | $7.24 | $12.59 | $30.20 |
Blue Shield Setting Facility Modifier None Typical Low $38.02 Median $109.65 Typical High $208.93 | Facility | None | $38.02 | $109.65 | $208.93 |
Blue Shield Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $18.62 | Professional | None | $8.51 | $12.02 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $29.51 Typical High $57.54 | Facility | None | $12.88 | $29.51 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $23.99 | Professional | None | $9.77 | $9.77 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $19.05 Typical High $48.98 | Professional | None | $15.49 | $19.05 | $48.98 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $18.20 Typical High $46.77 | Facility | None | $12.30 | $18.20 | $46.77 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $18.20 | Professional | None | $9.77 | $9.77 | $18.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $18.20 | Facility | None | $7.76 | $7.76 | $18.20 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.23 Typical High $48.98 | Professional | None | $7.76 | $10.23 | $48.98 |
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 $12.59 Median $23.99 Typical High $26.30 | Professional | QW · Waived lab test | $12.59 | $23.99 | $26.30 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $14.79 Median $21.88 Typical High $51.29 | Professional | QW · Waived lab test | $14.79 | $21.88 | $51.29 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | QW · Waived lab test | $56.23 | $56.23 | $56.23 |
Where California sits
The same service costs 4.0 times more in Kansas 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· 26th of 51
$16.22
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.