How much rates vary
Facilitymedian $105 · 10th to 90th $50 to $245Professionalmedian $105 · 10th to 90th $39 to $437
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | None | $83.18 | $104.71 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $104.71 Typical High $288.40 | Facility | None | $72.44 | $104.71 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $234.42 | Professional | None | $85.11 | $125.89 | $234.42 |
Blue Shield Setting Facility Modifier None Typical Low $42.66 Median $138.04 Typical High $173.78 | Facility | None | $42.66 | $138.04 | $173.78 |
Blue Shield Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $190.55 | Professional | None | $50.12 | $72.44 | $190.55 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $79.43 | Professional | None | $46.77 | $52.48 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $104.71 Typical High $194.98 | Facility | None | $39.81 | $104.71 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $69.18 Typical High $288.40 | Professional | None | $31.62 | $69.18 | $288.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $79.43 | Professional | None | $46.77 | $64.57 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $154.88 | Professional | None | $52.48 | $67.61 | $154.88 |
Lucent Health Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $436.52 | Professional | None | $295.12 | $436.52 | $436.52 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Providence Setting Facility Modifier None Typical Low $45.71 Median $104.71 Typical High $190.55 | Facility | None | $45.71 | $104.71 | $190.55 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $72.44 Typical High $288.40 | Professional | None | $32.36 | $72.44 | $288.40 |
Sutter Health Plus Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $58.88 | Facility | None | $24.55 | $24.55 | $58.88 |
United Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $257.04 | Professional | None | $24.55 | $35.48 | $257.04 |
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 $52.48 Median $79.43 Typical High $194.98 | Facility | 52 · Reduced service | $52.48 | $79.43 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $31.62 Typical High $77.62 | Facility | 53 · Discontinued | $20.89 | $31.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $41.69 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $16.60 | $20.89 | $20.89 |
Where California sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 5th of 51
$105
AK $132NE $38.90
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.