How much rates vary
Facilitymedian $105 · 10th to 90th $40 to $316Professionalmedian $34 · 10th to 90th $19 to $98
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 $44.67 Median $95.50 Typical High $275.42 | Facility | None | $44.67 | $95.50 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $53.70 | Professional | None | $33.11 | $45.71 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $42.66 | Professional | None | $19.50 | $23.44 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $190.55 | Facility | None | $47.86 | $69.18 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $27.54 Typical High $87.10 | Professional | None | $19.05 | $27.54 | $87.10 |
Blue Shield Setting Facility Modifier None Typical Low $75.86 Median $309.03 Typical High $588.84 | Facility | None | $75.86 | $309.03 | $588.84 |
Blue Shield Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $61.66 | Professional | None | $23.99 | $33.88 | $61.66 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $50.12 | Professional | None | $30.90 | $30.90 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $58.88 Typical High $128.82 | Facility | None | $26.92 | $58.88 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $41.69 Typical High $125.89 | Professional | None | $25.12 | $41.69 | $125.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $42.66 | Professional | None | $34.67 | $42.66 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $107.15 | Professional | None | $33.11 | $42.66 | $107.15 |
Lucent Health Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $58.88 | Professional | None | $32.36 | $37.15 | $58.88 |
Molina Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $46.77 | Professional | None | $22.91 | $22.91 | $46.77 |
Providence Setting Facility Modifier None Typical Low $31.62 Median $48.98 Typical High $114.82 | Facility | None | $31.62 | $48.98 | $114.82 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $97.72 | Professional | None | $25.12 | $38.90 | $97.72 |
Sutter Health Plus Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $23.44 Typical High $104.71 | Professional | None | $16.22 | $23.44 | $104.71 |
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 $22.39 Median $58.88 Typical High $141.25 | Facility | 52 · Reduced service | $22.39 | $58.88 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $23.44 Typical High $56.23 | Facility | 53 · Discontinued | $9.12 | $23.44 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $16.60 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $6.61 | $9.33 | $9.33 |
Where California sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 23rd of 51
$44.67
AK $87.10AL $18.62
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.