How much rates vary
Facilitymedian $83 · 10th to 90th $44 to $195Professionalmedian $49 · 10th to 90th $22 to $347
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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | None | $40.74 | $43.65 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $229.09 | Facility | None | $57.54 | $83.18 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $33.88 Typical High $181.97 | Professional | None | $14.13 | $33.88 | $181.97 |
Blue Shield Setting Facility Modifier None Typical Low $63.10 Median $107.15 Typical High $158.49 | Facility | None | $63.10 | $107.15 | $158.49 |
Blue Shield Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $120.23 | Professional | None | $26.30 | $38.02 | $120.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $64.57 | Professional | None | $37.15 | $41.69 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $83.18 Typical High $158.49 | Facility | None | $38.02 | $83.18 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $50.12 Typical High $239.88 | Professional | None | $25.70 | $50.12 | $239.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $63.10 | Professional | None | $38.02 | $51.29 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $123.03 | Professional | None | $41.69 | $53.70 | $123.03 |
Lucent Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $346.74 | Professional | None | $234.42 | $234.42 | $346.74 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $64.57 Typical High $151.36 | Facility | None | $43.65 | $64.57 | $151.36 |
Providence Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $229.09 | Professional | None | $28.18 | $51.29 | $229.09 |
Sutter Health Plus Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $46.77 | Facility | None | $19.50 | $19.50 | $46.77 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $181.97 | Professional | None | $19.50 | $28.18 | $181.97 |
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 $21.88 Median $33.88 Typical High $83.18 | Facility | 52 · Reduced service | $21.88 | $33.88 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $13.49 Typical High $33.11 | Facility | 53 · Discontinued | $8.91 | $13.49 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $20.42 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.13 | $8.91 | $8.91 |
Where California sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 12th of 51
$56.23
AK $105NM $28.18
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.