How much rates vary
Facilitymedian $214 · 10th to 90th $107 to $5,495Professionalmedian $123 · 10th to 90th $76 to $437
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 $478.63 Median $5,128.61 Typical High $15,135.61 | Facility | None | $478.63 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $120.23 Typical High $190.55 | Professional | None | $72.44 | $120.23 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | None | $114.82 | $128.82 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $2,137.96 | $4,786.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $467.74 | Professional | None | $87.10 | $102.33 | $467.74 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $309.03 Typical High $4,570.88 | Facility | None | $100.00 | $309.03 | $4,570.88 |
Blue Shield Setting Professional Modifier None Typical Low $69.18 Median $123.03 Typical High $275.42 | Professional | None | $69.18 | $123.03 | $275.42 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $158.49 | Professional | None | $58.88 | $85.11 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $120.23 Typical High $1,412.54 | Facility | None | $83.18 | $120.23 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $218.78 | Professional | None | $79.43 | $125.89 | $218.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $154.88 | Professional | None | $57.54 | $83.18 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $128.82 Typical High $281.84 | Professional | None | $72.44 | $128.82 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,047.13 | Professional | None | $831.76 | $831.76 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $169.82 | Professional | None | $102.33 | $102.33 | $169.82 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $123.03 Typical High $741.31 | Facility | None | $83.18 | $123.03 | $741.31 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $218.78 | Professional | None | $79.43 | $123.03 | $218.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $389.05 | Professional | None | $257.04 | $257.04 | $389.05 |
United Setting Facility Modifier None Typical Low $114.82 Median $199.53 Typical High $2,290.87 | Facility | None | $114.82 | $199.53 | $2,290.87 |
United Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $269.15 | Professional | None | $67.61 | $117.49 | $269.15 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $67.61 | Facility | 52 · Reduced service | $39.81 | $39.81 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $27.54 | Facility | 53 · Discontinued | $15.85 | $16.22 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $50.12 Typical High $67.61 | Professional | 52 · Reduced service | $36.31 | $50.12 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $19.95 Typical High $26.92 | Professional | 53 · Discontinued | $14.79 | $19.95 | $26.92 |
Where California sits
The same service costs 2.8 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· 28th of 51
$132
AK $263KY $93.33
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.