How much rates vary
Facilitymedian $123 · 10th to 90th $60 to $603Professionalmedian $68 · 10th to 90th $32 to $145
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 $61.66 Median $134.90 Typical High $416.87 | Facility | None | $61.66 | $134.90 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $95.50 | Professional | None | $60.26 | $67.61 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $61.66 | Professional | None | $26.30 | $30.90 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $112.20 Typical High $309.03 | Facility | None | $75.86 | $112.20 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $39.81 Typical High $144.54 | Professional | None | $31.62 | $39.81 | $144.54 |
Blue Shield Setting Facility Modifier None Typical Low $104.71 Median $457.09 Typical High $870.96 | Facility | None | $104.71 | $457.09 | $870.96 |
Blue Shield Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $109.65 | Professional | None | $48.98 | $70.79 | $109.65 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $60.26 | Professional | None | $48.98 | $50.12 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $100.00 Typical High $208.93 | Facility | None | $43.65 | $100.00 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $177.83 | Professional | None | $33.11 | $48.98 | $177.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $67.61 | Professional | None | $43.65 | $67.61 | $67.61 |
HealthNet Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $63.10 | Professional | None | $20.89 | $20.89 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $165.96 | Professional | None | $50.12 | $61.66 | $165.96 |
Lucent Health Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $120.23 | Professional | None | $52.48 | $58.88 | $120.23 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $74.13 | Professional | None | $37.15 | $37.15 | $74.13 |
Providence Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $186.21 | Facility | None | $52.48 | $74.13 | $186.21 |
Providence Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $144.54 | Professional | None | $33.11 | $51.29 | $144.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $61.66 | Facility | None | $26.30 | $26.30 | $61.66 |
United Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $158.49 | Professional | None | $26.30 | $37.15 | $158.49 |
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 $33.11 Median $87.10 Typical High $208.93 | Facility | 52 · Reduced service | $33.11 | $87.10 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $34.67 Typical High $83.18 | Facility | 53 · Discontinued | $13.18 | $34.67 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $23.99 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $9.77 | $13.49 | $13.49 |
Where California sits
The same service costs 4.5 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· 17th of 51
$70.79
AK $158KY $35.48
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.