How much rates vary
Facilitymedian $5 · 10th to 90th $1 to $30Professionalmedian $3 · 10th to 90th $2 to $8
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 $3.72 Median $7.24 Typical High $22.39 | Facility | None | $3.72 | $7.24 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.80 Typical High $6.17 | Professional | None | $3.16 | $3.80 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $1.45 Median $1.91 Typical High $3.16 | Professional | None | $1.45 | $1.91 | $3.16 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.89 Median $6.03 Typical High $15.49 | Facility | None | $3.89 | $6.03 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $2.34 Typical High $10.96 | Professional | None | $1.95 | $2.34 | $10.96 |
Blue Shield Setting Facility Modifier None Typical Low $8.13 Median $28.84 Typical High $52.48 | Facility | None | $8.13 | $28.84 | $52.48 |
Blue Shield Setting Professional Modifier None Typical Low $1.95 Median $2.82 Typical High $5.01 | Professional | None | $1.95 | $2.82 | $5.01 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $4.07 | Professional | None | $2.51 | $2.51 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $4.79 Typical High $10.96 | Facility | None | $2.19 | $4.79 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.80 Typical High $10.47 | Professional | None | $2.34 | $3.80 | $10.47 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $3.47 | Professional | None | $2.75 | $3.47 | $3.47 |
HealthNet Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $17.78 | Professional | None | $3.16 | $3.16 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.69 Median $3.16 Typical High $8.91 | Professional | None | $2.69 | $3.16 | $8.91 |
Lucent Health Setting Professional Modifier None Typical Low $2.69 Median $3.98 Typical High $16.98 | Professional | None | $2.69 | $3.98 | $16.98 |
Molina Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Providence Setting Facility Modifier None Typical Low $2.63 Median $4.07 Typical High $10.72 | Facility | None | $2.63 | $4.07 | $10.72 |
Providence Setting Professional Modifier None Typical Low $2.40 Median $3.80 Typical High $7.76 | Professional | None | $2.40 | $3.80 | $7.76 |
Sutter Health Plus Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
United Setting Facility Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Facility | None | $1.12 | $1.12 | $1.12 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.69 Typical High $8.51 | Professional | None | $1.91 | $2.69 | $8.51 |
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 $1.86 Median $4.79 Typical High $11.48 | Facility | 52 · Reduced service | $1.86 | $4.79 | $11.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.74 Median $1.91 Typical High $4.57 | Facility | 53 · Discontinued | $0.74 | $1.91 | $4.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.91 Typical High $1.91 | Professional | 52 · Reduced service | $1.35 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.54 | $0.76 | $0.76 |
Where California sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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· 23rd of 51
$3.63
MN $56.23DC $2.51
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.