How much rates vary
Facilitymedian $15 · 10th to 90th $9 to $78Professionalmedian $7 · 10th to 90th $5 to $21
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 $9.77 Median $15.85 Typical High $60.26 | Facility | None | $9.77 | $15.85 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $15.49 | Professional | None | $7.76 | $9.33 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $4.68 Typical High $6.46 | Professional | None | $4.27 | $4.68 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $16.60 Typical High $45.71 | Facility | None | $11.48 | $16.60 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $5.62 Typical High $19.50 | Professional | None | $4.57 | $5.62 | $19.50 |
Blue Shield Setting Facility Modifier None Typical Low $23.99 Median $75.86 Typical High $141.25 | Facility | None | $23.99 | $75.86 | $141.25 |
Blue Shield Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $10.72 | Professional | None | $4.07 | $5.75 | $10.72 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $11.22 | Professional | None | $7.41 | $7.41 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $14.13 Typical High $32.36 | Facility | None | $6.46 | $14.13 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $30.90 | Professional | None | $6.03 | $10.00 | $30.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $6.03 Median $10.23 Typical High $10.23 | Professional | None | $6.03 | $10.23 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $25.12 | Professional | None | $7.41 | $9.33 | $25.12 |
Lucent Health Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $14.13 | Professional | None | $7.94 | $8.91 | $14.13 |
Molina Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $11.22 | Professional | None | $5.62 | $5.62 | $11.22 |
Providence Setting Facility Modifier None Typical Low $7.76 Median $11.75 Typical High $30.20 | Facility | None | $7.76 | $11.75 | $30.20 |
Providence Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $23.44 | Professional | None | $6.17 | $8.71 | $23.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $25.12 | Professional | None | $3.89 | $5.62 | $25.12 |
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 $4.68 Median $11.22 Typical High $33.11 | Facility | 52 · Reduced service | $4.68 | $11.22 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.86 Median $4.47 Typical High $13.18 | Facility | 53 · Discontinued | $1.86 | $4.47 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.89 Typical High $5.37 | Professional | 52 · Reduced service | $3.72 | $3.89 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.58 Typical High $2.19 | Professional | 53 · Discontinued | $1.48 | $1.58 | $2.19 |
Where California sits
The same service costs 12.9 times more in Vermont 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· 30th of 51
$9.33
VT $89.13MD $6.92
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.