How much rates vary
Facilitymedian $81 · 10th to 90th $28 to $229Professionalmedian $25 · 10th to 90th $14 to $66
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 $77.62 Typical High $204.17 | Facility | None | $29.51 | $77.62 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $38.90 | Professional | None | $23.99 | $33.11 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $16.98 Typical High $19.50 | Professional | None | $13.80 | $16.98 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $50.12 Typical High $138.04 | Facility | None | $33.88 | $50.12 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $63.10 | Professional | None | $13.80 | $19.50 | $63.10 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $223.87 Typical High $416.87 | Facility | None | $60.26 | $223.87 | $416.87 |
Blue Shield Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $44.67 | Professional | None | $17.38 | $24.55 | $44.67 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $36.31 | Professional | None | $22.39 | $22.39 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $41.69 Typical High $95.50 | Facility | None | $19.50 | $41.69 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $91.20 | Professional | None | $18.20 | $30.20 | $91.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $30.90 | Professional | None | $24.55 | $30.90 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $77.62 | Professional | None | $23.44 | $30.90 | $77.62 |
Lucent Health Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $41.69 | Professional | None | $23.44 | $26.30 | $41.69 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $33.11 | Professional | None | $16.60 | $16.60 | $33.11 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $87.10 | Facility | None | $22.91 | $34.67 | $87.10 |
Providence Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $70.79 | Professional | None | $18.20 | $27.54 | $70.79 |
Sutter Health Plus Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $74.13 | Professional | None | $11.75 | $16.60 | $74.13 |
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 $16.22 Median $42.66 Typical High $102.33 | Facility | 52 · Reduced service | $16.22 | $42.66 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $16.98 Typical High $40.74 | Facility | 53 · Discontinued | $6.46 | $16.98 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $11.75 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $4.68 | $6.61 | $6.61 |
Where California sits
The same service costs 3.5 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· 15th of 51
$32.36
AK $63.10AL $17.78
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.