How much rates vary
Facilitymedian $60 · 10th to 90th $48 to $251Professionalmedian $51 · 10th to 90th $32 to $389
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 $51.29 Median $52.48 Typical High $245.47 | Facility | None | $51.29 | $52.48 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $51.29 | $51.29 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $147.91 Typical High $263.03 | Facility | None | $52.48 | $147.91 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $51.29 | $51.29 | $56.23 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | QW · Waived lab test | $51.29 | $51.29 | $51.29 |
Blue Shield Setting Facility Modifier None Typical Low $37.15 Median $120.23 Typical High $151.36 | Facility | None | $37.15 | $120.23 | $151.36 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $31.62 Median $45.71 Typical High $120.23 | Professional | None (both parts) | $31.62 | $45.71 | $120.23 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $40.74 | $45.71 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $74.13 Typical High $165.96 | Facility | None | $38.90 | $74.13 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $69.18 | Professional | None | $51.29 | $56.23 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $138.04 | Professional | None | $45.71 | $56.23 | $138.04 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $45.71 Median $69.18 Typical High $144.54 | Professional | QW · Waived lab test | $45.71 | $69.18 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $257.04 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $323.59 | $389.05 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $69.18 Typical High $134.90 | Facility | None | $43.65 | $69.18 | $134.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $89.13 | Professional | None (both parts) | $51.29 | $56.23 | $89.13 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $51.29 | Facility | None | $21.38 | $21.38 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.90 Typical High $223.87 | Professional | None (both parts) | $21.38 | $30.90 | $223.87 |
6 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 $25.70 Median $58.88 Typical High $158.49 | Facility | 52 · Reduced service | $25.70 | $58.88 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $23.44 Typical High $64.57 | Facility | 53 · Discontinued | $10.23 | $23.44 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where California sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 28th of 51
$51.29
AK $102ME $33.11
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.