How much rates vary
Facilitymedian $65 · 10th to 90th $30 to $324Professionalmedian $28 · 10th to 90th $15 to $78
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 $36.31 Median $93.33 Typical High $223.87 | Facility | None | $36.31 | $93.33 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $36.31 Typical High $37.15 | Professional | None | $22.91 | $36.31 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $54.95 Typical High $151.36 | Facility | None | $38.02 | $54.95 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $69.18 | Professional | None | $15.14 | $21.38 | $69.18 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $251.19 Typical High $467.74 | Facility | None | $66.07 | $251.19 | $467.74 |
Blue Shield Setting Professional Modifier None Typical Low $19.05 Median $27.54 Typical High $48.98 | Professional | None | $19.05 | $27.54 | $48.98 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $39.81 | Professional | None | $24.55 | $24.55 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $46.77 Typical High $107.15 | Facility | None | $21.88 | $46.77 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $102.33 | Professional | None | $19.95 | $33.11 | $102.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $33.88 | Professional | None | $27.54 | $33.88 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $87.10 | Professional | None | $26.30 | $33.88 | $87.10 |
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 $25.70 Median $38.90 Typical High $97.72 | Facility | None | $25.70 | $38.90 | $97.72 |
Providence Setting Professional Modifier None Typical Low $20.42 Median $30.90 Typical High $77.62 | Professional | None | $20.42 | $30.90 | $77.62 |
Sutter Health Plus Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $30.90 | Facility | None | $12.88 | $12.88 | $30.90 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $83.18 | Professional | None | $12.88 | $18.62 | $83.18 |
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 $18.20 Median $46.77 Typical High $112.20 | Facility | 52 · Reduced service | $18.20 | $46.77 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $19.05 Typical High $44.67 | Facility | 53 · Discontinued | $7.24 | $19.05 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $13.18 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $5.25 | $7.41 | $7.41 |
Where California sits
The same service costs 3.7 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· 26th of 51
$30.90
AK $69.18AL $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.