How much rates vary
Facilitymedian $16 · 10th to 90th $6 to $60Professionalmedian $5 · 10th to 90th $2 to $16
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 $3.55 Median $8.71 Typical High $34.67 | Facility | None | $3.55 | $8.71 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $6.46 Typical High $12.88 | Professional | None | $2.82 | $6.46 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $6.92 Typical High $10.23 | Professional | None | $4.27 | $6.92 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $42.66 | Facility | None | $10.72 | $15.49 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $5.13 Typical High $15.85 | Professional | None | $3.47 | $5.13 | $15.85 |
Blue Shield Setting Facility Modifier None Typical Low $15.85 Median $48.98 Typical High $83.18 | Facility | None | $15.85 | $48.98 | $83.18 |
Blue Shield Setting Professional Modifier None Typical Low $1.45 Median $2.04 Typical High $4.90 | Professional | None | $1.45 | $2.04 | $4.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $9.55 | Professional | None | $6.92 | $6.92 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.88 Typical High $27.54 | Facility | None | $5.75 | $12.88 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $8.51 Typical High $20.89 | Professional | None | $4.79 | $8.51 | $20.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.82 Median $9.55 Typical High $9.55 | Professional | None | $2.82 | $9.55 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.24 Median $9.55 Typical High $22.91 | Professional | None | $7.24 | $9.55 | $22.91 |
Lucent Health Setting Professional Modifier None Typical Low $10.47 Median $17.38 Typical High $51.29 | Professional | None | $10.47 | $17.38 | $51.29 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Providence Setting Facility Modifier None Typical Low $5.25 Median $9.55 Typical High $22.91 | Facility | None | $5.25 | $9.55 | $22.91 |
Providence Setting Professional Modifier None Typical Low $4.79 Median $8.13 Typical High $17.38 | Professional | None | $4.79 | $8.13 | $17.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $8.71 | Facility | None | $3.63 | $3.63 | $8.71 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.62 Typical High $19.95 | Professional | None | $5.13 | $5.62 | $19.95 |
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 $1.66 Median $5.01 Typical High $19.50 | Facility | 52 · Reduced service | $1.66 | $5.01 | $19.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.68 Median $2.00 Typical High $7.94 | Facility | 53 · Discontinued | $0.68 | $2.00 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $2.45 Typical High $3.47 | Professional | 52 · Reduced service | $1.41 | $2.45 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $1.02 Typical High $1.38 | Professional | 53 · Discontinued | $0.56 | $1.02 | $1.38 |
Where California sits
The same service costs 15.8 times more in Minnesota 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· 45th of 51
$7.08
MN $67.61AL $4.27
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.