How much rates vary
Facilitymedian $151 · 10th to 90th $65 to $776Professionalmedian $66 · 10th to 90th $37 to $224
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 $85.11 Median $218.78 Typical High $524.81 | Facility | None | $85.11 | $218.78 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $104.71 | Professional | None | $60.26 | $85.11 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $45.71 Typical High $52.48 | Professional | None | $34.67 | $45.71 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $134.90 Typical High $371.54 | Facility | None | $91.20 | $134.90 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $245.47 | Professional | None | $37.15 | $51.29 | $245.47 |
Blue Shield Setting Facility Modifier None Typical Low $128.82 Median $588.84 Typical High $1,096.48 | Facility | None | $128.82 | $588.84 | $1,096.48 |
Blue Shield Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $100.00 | Professional | None | $46.77 | $66.07 | $100.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $87.10 | Professional | None | $60.26 | $60.26 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $112.20 Typical High $251.19 | Facility | None | $51.29 | $112.20 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $229.09 | Professional | None | $46.77 | $79.43 | $229.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | None | $66.07 | $83.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $204.17 | Professional | None | $63.10 | $83.18 | $204.17 |
Lucent Health Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $93.33 | Professional | None | $63.10 | $67.61 | $93.33 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $89.13 | Professional | None | $44.67 | $44.67 | $89.13 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $89.13 Typical High $223.87 | Facility | None | $60.26 | $89.13 | $223.87 |
Providence Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $186.21 | Professional | None | $46.77 | $74.13 | $186.21 |
Sutter Health Plus Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $74.13 | Facility | None | $31.62 | $31.62 | $74.13 |
United Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $199.53 | Professional | None | $31.62 | $44.67 | $199.53 |
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 $42.66 Median $109.65 Typical High $263.03 | Facility | 52 · Reduced service | $42.66 | $109.65 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $43.65 Typical High $104.71 | Facility | 53 · Discontinued | $16.98 | $43.65 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $31.62 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $12.59 | $17.38 | $17.38 |
Where California sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 16th of 51
$83.18
AK $170AL $31.62
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.