How much rates vary
Facilitymedian $158 · 10th to 90th $65 to $617Professionalmedian $93 · 10th to 90th $38 to $550
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 $63.10 Median $162.18 Typical High $389.05 | Facility | None | $63.10 | $162.18 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | None | $56.23 | $64.57 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $131.83 Typical High $363.08 | Facility | None | $91.20 | $131.83 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $107.15 Typical High $309.03 | Professional | None | $38.02 | $107.15 | $309.03 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $436.52 Typical High $812.83 | Facility | None | $100.00 | $436.52 | $812.83 |
Blue Shield Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $128.82 | Professional | None | $34.67 | $48.98 | $128.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $100.00 | Professional | None | $58.88 | $66.07 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $131.83 Typical High $245.47 | Facility | None | $53.70 | $131.83 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $83.18 Typical High $363.08 | Professional | None | $38.90 | $83.18 | $363.08 |
Contra Costa Health Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $100.00 | Professional | None | $58.88 | $81.28 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $194.98 | Professional | None | $66.07 | $81.28 | $194.98 |
Lucent Health Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $549.54 | Professional | None | $363.08 | $549.54 | $549.54 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $97.72 Typical High $223.87 | Facility | None | $60.26 | $97.72 | $223.87 |
Providence Setting Professional Modifier None Typical Low $38.90 Median $87.10 Typical High $363.08 | Professional | None | $38.90 | $87.10 | $363.08 |
Sutter Health Plus Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $74.13 | Facility | None | $30.90 | $30.90 | $74.13 |
United Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $288.40 | Professional | None | $30.90 | $43.65 | $288.40 |
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 $31.62 Median $81.28 Typical High $194.98 | Facility | 52 · Reduced service | $31.62 | $81.28 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $32.36 Typical High $77.62 | Facility | 53 · Discontinued | $12.59 | $32.36 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $28.18 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $11.22 | $12.88 | $12.88 |
Where California sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 3rd of 51
$110
AK $166OK $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.