How much rates vary
Facilitymedian $71 · 10th to 90th $24 to $200Professionalmedian $21 · 10th to 90th $12 to $56
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 $28.18 Median $67.61 Typical High $177.83 | Facility | None | $28.18 | $67.61 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $28.18 Typical High $28.84 | Professional | None | $17.78 | $28.18 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $16.98 | Professional | None | $12.02 | $16.22 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $43.65 Typical High $120.23 | Facility | None | $29.51 | $43.65 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $52.48 | Professional | None | $12.02 | $16.98 | $52.48 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $194.98 Typical High $363.08 | Facility | None | $56.23 | $194.98 | $363.08 |
Blue Shield Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $38.90 | Professional | None | $15.14 | $21.38 | $38.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $31.62 | Professional | None | $19.50 | $19.50 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $36.31 Typical High $83.18 | Facility | None | $16.98 | $36.31 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $79.43 | Professional | None | $15.14 | $19.05 | $79.43 |
Contra Costa Health Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $26.30 | Professional | None | $21.38 | $26.30 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $64.57 | Professional | None | $20.42 | $26.30 | $64.57 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $28.84 | Professional | None | $14.45 | $14.45 | $28.84 |
Providence Setting Facility Modifier None Typical Low $19.95 Median $30.20 Typical High $72.44 | Facility | None | $19.95 | $30.20 | $72.44 |
Providence Setting Professional Modifier None Typical Low $15.85 Median $23.99 Typical High $61.66 | Professional | None | $15.85 | $23.99 | $61.66 |
Sutter Health Plus Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
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 $10.23 Median $14.45 Typical High $64.57 | Professional | None | $10.23 | $14.45 | $64.57 |
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 $14.13 Median $37.15 Typical High $89.13 | Facility | 52 · Reduced service | $14.13 | $37.15 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $14.79 Typical High $35.48 | Facility | 53 · Discontinued | $5.62 | $14.79 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $9.77 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $3.89 | $5.75 | $5.75 |
Where California sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 20th of 51
$25.70
AK $54.95MD $18.20
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.