How much rates vary
Facilitymedian $54 · 10th to 90th $25 to $263Professionalmedian $22 · 10th to 90th $12 to $62
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 $29.51 Median $75.86 Typical High $181.97 | Facility | None | $29.51 | $75.86 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $30.20 | Professional | None | $19.50 | $29.51 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $45.71 Typical High $125.89 | Facility | None | $31.62 | $45.71 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $56.23 | Professional | None | $12.30 | $17.78 | $56.23 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $199.53 Typical High $380.19 | Facility | None | $57.54 | $199.53 | $380.19 |
Blue Shield Setting Professional Modifier None Typical Low $15.49 Median $22.39 Typical High $39.81 | Professional | None | $15.49 | $22.39 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $33.11 | Professional | None | $20.42 | $20.42 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $38.90 Typical High $87.10 | Facility | None | $17.78 | $38.90 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $83.18 | Professional | None | $16.22 | $26.92 | $83.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | None | $22.39 | $28.18 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $67.61 | Professional | None | $21.88 | $26.30 | $67.61 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $30.90 | Professional | None | $15.49 | $15.49 | $30.90 |
Providence Setting Facility Modifier None Typical Low $20.89 Median $31.62 Typical High $81.28 | Facility | None | $20.89 | $31.62 | $81.28 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $25.70 Typical High $63.10 | Professional | None | $16.22 | $25.70 | $63.10 |
Sutter Health Plus Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $25.70 | Facility | None | $10.72 | $10.72 | $25.70 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $69.18 | Professional | None | $10.72 | $15.49 | $69.18 |
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 $14.45 Median $38.02 Typical High $91.20 | Facility | 52 · Reduced service | $14.45 | $38.02 | $91.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $15.14 Typical High $36.31 | Facility | 53 · Discontinued | $5.89 | $15.14 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $10.96 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $4.37 | $6.03 | $6.03 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 90 · Outside lab | $16.60 | $16.60 | $16.60 |
Where California sits
The same service costs 3.1 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· 24th of 51
$25.70
AK $57.54AL $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.