How much rates vary
Facilitymedian $89 · 10th to 90th $50 to $214Professionalmedian $74 · 10th to 90th $40 to $380
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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | None | $58.88 | $58.88 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $91.20 Typical High $251.19 | Facility | None | $63.10 | $91.20 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $199.53 | Professional | None | $57.54 | $89.13 | $199.53 |
Blue Shield Setting Facility Modifier None Typical Low $37.15 Median $120.23 Typical High $151.36 | Facility | None | $37.15 | $120.23 | $151.36 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $147.91 | Professional | None | $39.81 | $56.23 | $147.91 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $69.18 | Professional | None | $40.74 | $45.71 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $91.20 Typical High $169.82 | Facility | None | $41.69 | $91.20 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $60.26 Typical High $251.19 | Professional | None | $27.54 | $60.26 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $69.18 | Professional | None | $40.74 | $56.23 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $134.90 | Professional | None | $45.71 | $58.88 | $134.90 |
Lucent Health Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $380.19 | Professional | None | $263.03 | $380.19 | $380.19 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $162.18 | Facility | None | $47.86 | $83.18 | $162.18 |
Providence Setting Professional Modifier None Typical Low $28.18 Median $64.57 Typical High $251.19 | Professional | None | $28.18 | $64.57 | $251.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $51.29 | Facility | None | $21.38 | $21.38 | $51.29 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $223.87 | Professional | None | $21.38 | $30.90 | $223.87 |
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 $29.51 Median $44.67 Typical High $109.65 | Facility | 52 · Reduced service | $29.51 | $44.67 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $17.78 Typical High $43.65 | Facility | 53 · Discontinued | $11.75 | $17.78 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
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· 4th of 51
$75.86
AK $115NE $33.88
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.