How much rates vary
Facilitymedian $95 · 10th to 90th $33 to $269Professionalmedian $29 · 10th to 90th $16 to $83
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 $38.02 Median $89.13 Typical High $229.09 | Facility | None | $38.02 | $89.13 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $38.02 Typical High $38.90 | Professional | None | $23.99 | $38.02 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | None | $19.50 | $19.50 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $57.54 Typical High $158.49 | Facility | None | $39.81 | $57.54 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $72.44 | Professional | None | $15.85 | $22.91 | $72.44 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $257.04 Typical High $489.78 | Facility | None | $66.07 | $257.04 | $489.78 |
Blue Shield Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $51.29 | Professional | None | $19.95 | $28.84 | $51.29 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $41.69 | Professional | None | $25.70 | $25.70 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $48.98 Typical High $112.20 | Facility | None | $22.39 | $48.98 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $107.15 | Professional | None | $20.89 | $34.67 | $107.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $35.48 | Professional | None | $28.84 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $91.20 | Professional | None | $27.54 | $33.88 | $91.20 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $38.90 | Professional | None | $19.50 | $19.50 | $38.90 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $104.71 | Facility | None | $25.70 | $40.74 | $104.71 |
Providence Setting Professional Modifier None Typical Low $20.89 Median $32.36 Typical High $81.28 | Professional | None | $20.89 | $32.36 | $81.28 |
Sutter Health Plus Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $87.10 | Professional | None | $13.49 | $19.50 | $87.10 |
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 $19.05 Median $48.98 Typical High $117.49 | Facility | 52 · Reduced service | $19.05 | $48.98 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $19.50 Typical High $46.77 | Facility | 53 · Discontinued | $7.59 | $19.50 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $13.80 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $5.50 | $7.76 | $7.76 |
Where California sits
The same service costs 4.1 times more in Kansas 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· 21st of 51
$36.31
KS $75.86AL $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.