How much rates vary
Facilitymedian $60 · 10th to 90th $19 to $151Professionalmedian $19 · 10th to 90th $11 to $65
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 $19.50 Median $44.67 Typical High $134.90 | Facility | None | $19.50 | $44.67 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $64.57 | Professional | None | $19.50 | $21.38 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $28.84 | Professional | None | $23.44 | $23.44 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $77.62 Typical High $194.98 | Facility | None | $19.95 | $77.62 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $35.48 | Professional | None | $18.62 | $18.62 | $35.48 |
Blue Shield Setting Facility Modifier None Typical Low $33.88 Median $109.65 Typical High $138.04 | Facility | None | $33.88 | $109.65 | $138.04 |
Blue Shield Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $17.38 | Professional | None | $8.91 | $12.59 | $17.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $60.26 | Professional | None | $37.15 | $37.15 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $69.18 Typical High $141.25 | Facility | None | $16.60 | $69.18 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $60.26 | Professional | None | $24.55 | $24.55 | $60.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | None | $46.77 | $51.29 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $123.03 | Professional | None | $39.81 | $51.29 | $123.03 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $46.77 Typical High $120.23 | Facility | None | $27.54 | $46.77 | $120.23 |
Providence Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | None | $24.55 | $24.55 | $46.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $46.77 | Facility | None | $19.50 | $19.50 | $46.77 |
United Setting Professional Modifier None Typical Low $8.13 Median $19.50 Typical High $125.89 | Professional | None | $8.13 | $19.50 | $125.89 |
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 $9.77 Median $22.39 Typical High $67.61 | Facility | 52 · Reduced service | $9.77 | $22.39 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $9.12 Typical High $26.92 | Facility | 53 · Discontinued | $3.89 | $9.12 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $9.77 Typical High $18.62 | Professional | 52 · Reduced service | $9.77 | $9.77 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $7.41 | Professional | 53 · Discontinued | $3.89 | $3.89 | $7.41 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $31.62 Median $60.26 Typical High $67.61 | Professional | QW · Waived lab test | $31.62 | $60.26 | $67.61 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $37.15 Median $56.23 Typical High $128.82 | Professional | QW · Waived lab test | $37.15 | $56.23 | $128.82 |
Sutter Health Plus Setting Professional Modifier QW · Waived lab test Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | QW · Waived lab test | $144.54 | $144.54 | $144.54 |
Where California sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 48th of 51
$22.91
AK $69.18KY $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.