How much rates vary
Facilitymedian $7 · 10th to 90th $3 to $29Professionalmedian $3 · 10th to 90th $2 to $7
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 $3.02 Median $7.08 Typical High $18.20 | Facility | None | $3.02 | $7.08 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.47 Typical High $6.03 | Professional | None | $2.95 | $3.47 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $1.74 Median $2.95 Typical High $3.80 | Professional | None | $1.74 | $2.95 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $6.61 Typical High $16.98 | Facility | None | $4.27 | $6.61 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $2.09 Typical High $5.75 | Professional | None | $1.82 | $2.09 | $5.75 |
Blue Shield Setting Facility Modifier None Typical Low $7.41 Median $23.99 Typical High $45.71 | Facility | None | $7.41 | $23.99 | $45.71 |
Blue Shield Setting Professional Modifier None Typical Low $1.58 Median $2.24 Typical High $4.17 | Professional | None | $1.58 | $2.24 | $4.17 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $4.47 | Professional | None | $2.75 | $2.75 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $5.25 Typical High $11.48 | Facility | None | $2.34 | $5.25 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $3.47 Typical High $7.94 | Professional | None | $1.86 | $3.47 | $7.94 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.14 Median $3.80 Typical High $3.80 | Professional | None | $2.14 | $3.80 | $3.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.75 Median $3.80 Typical High $9.33 | Professional | None | $2.75 | $3.80 | $9.33 |
Lucent Health Setting Professional Modifier None Typical Low $4.07 Median $6.61 Typical High $19.95 | Professional | None | $4.07 | $6.61 | $19.95 |
Molina Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | None | $4.17 | $4.17 | $4.17 |
Providence Setting Facility Modifier None Typical Low $2.51 Median $4.17 Typical High $9.77 | Facility | None | $2.51 | $4.17 | $9.77 |
Providence Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $7.08 | Professional | None | $1.95 | $3.31 | $7.08 |
Sutter Health Plus Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
United Setting Facility Modifier None Typical Low $1.45 Median $1.45 Typical High $3.47 | Facility | None | $1.45 | $1.45 | $3.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.24 Typical High $7.76 | Professional | None | $2.09 | $2.24 | $7.76 |
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 $1.51 Median $3.89 Typical High $9.33 | Facility | 52 · Reduced service | $1.51 | $3.89 | $9.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.60 Median $1.55 Typical High $3.72 | Facility | 53 · Discontinued | $0.60 | $1.55 | $3.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.51 Typical High $1.51 | Professional | 52 · Reduced service | $1.32 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.62 Typical High $0.62 | Professional | 53 · Discontinued | $0.52 | $0.62 | $0.62 |
Where California sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 32nd of 51
$3.39
AK $9.55NJ $2.75
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.