How much rates vary
Facilitymedian $162 · 10th to 90th $74 to $389Professionalmedian $115 · 10th to 90th $56 to $692
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 $57.54 Median $57.54 Typical High $117.49 | Facility | None | $57.54 | $57.54 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $128.82 | Professional | None | $57.54 | $57.54 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $165.96 Typical High $457.09 | Facility | None | $112.20 | $165.96 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $125.89 Typical High $398.11 | Professional | None | $69.18 | $125.89 | $398.11 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $213.80 Typical High $269.15 | Facility | None | $66.07 | $213.80 | $269.15 |
Blue Shield Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $169.82 | Professional | None | $56.23 | $81.28 | $169.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $112.20 | Professional | None | $67.61 | $74.13 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $165.96 Typical High $323.59 | Facility | None | $79.43 | $165.96 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $489.78 | Professional | None | $54.95 | $97.72 | $489.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $123.03 | Professional | None | $66.07 | $100.00 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $245.47 | Professional | None | $83.18 | $104.71 | $245.47 |
Lucent Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $691.83 | Professional | None | $457.09 | $457.09 | $691.83 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $309.03 | Facility | None | $79.43 | $128.82 | $309.03 |
Providence Setting Professional Modifier None Typical Low $54.95 Median $100.00 Typical High $446.68 | Professional | None | $54.95 | $100.00 | $446.68 |
Sutter Health Plus Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $91.20 | Facility | None | $38.90 | $38.90 | $91.20 |
United Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $363.08 | Professional | None | $38.90 | $54.95 | $363.08 |
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 $28.84 Median $43.65 Typical High $107.15 | Facility | 52 · Reduced service | $28.84 | $43.65 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $17.38 Typical High $42.66 | Facility | 53 · Discontinued | $11.48 | $17.38 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | 52 · Reduced service | $28.84 | $28.84 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $15.49 | Professional | 53 · Discontinued | $11.48 | $11.48 | $15.49 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 90 · Outside lab | $100.00 | $100.00 | $100.00 |
Where California sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 6th of 51
$126
AK $204CT $63.10
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.