How much rates vary
Facilitymedian $115 · 10th to 90th $50 to $275Professionalmedian $76 · 10th to 90th $32 to $490
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 $50.12 Median $54.95 Typical High $223.87 | Facility | None | $50.12 | $54.95 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $97.72 | Professional | None | $50.12 | $50.12 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $117.49 Typical High $323.59 | Facility | None | $81.28 | $117.49 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $83.18 Typical High $257.04 | Professional | None | $44.67 | $83.18 | $257.04 |
Blue Shield Setting Facility Modifier None Typical Low $47.86 Median $154.88 Typical High $194.98 | Facility | None | $47.86 | $154.88 | $194.98 |
Blue Shield Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $89.13 | Professional | None | $30.20 | $43.65 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $117.49 Typical High $218.78 | Facility | None | $47.86 | $117.49 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $70.79 Typical High $323.59 | Professional | None | $35.48 | $70.79 | $323.59 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $89.13 | Professional | None | $66.07 | $72.44 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $173.78 | Professional | None | $58.88 | $75.86 | $173.78 |
Lucent Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $489.78 | Professional | None | $331.13 | $331.13 | $489.78 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $91.20 Typical High $204.17 | Facility | None | $51.29 | $91.20 | $204.17 |
Providence Setting Professional Modifier None Typical Low $36.31 Median $72.44 Typical High $323.59 | Professional | None | $36.31 | $72.44 | $323.59 |
Sutter Health Plus Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $66.07 | Facility | None | $27.54 | $27.54 | $66.07 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $257.04 | Professional | None | $27.54 | $39.81 | $257.04 |
5 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 $25.12 Median $38.90 Typical High $95.50 | Facility | 52 · Reduced service | $25.12 | $38.90 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $15.49 Typical High $38.02 | Facility | 53 · Discontinued | $10.00 | $15.49 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 90 · Outside lab | $58.88 | $58.88 | $58.88 |
Where California sits
The same service costs 3.4 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· 9th of 51
$85.11
AK $148KY $43.65
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.