How much rates vary
Facilitymedian $8 · 10th to 90th $4 to $31Professionalmedian $4 · 10th to 90th $3 to $9
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 $3.72 Median $8.71 Typical High $25.70 | Facility | None | $3.72 | $8.71 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.27 Typical High $7.59 | Professional | None | $3.72 | $4.27 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $4.57 | Professional | None | $2.51 | $4.07 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $9.12 Typical High $25.12 | Facility | None | $6.17 | $9.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $3.02 Typical High $7.59 | Professional | None | $2.24 | $3.02 | $7.59 |
Blue Shield Setting Facility Modifier None Typical Low $9.12 Median $28.84 Typical High $52.48 | Facility | None | $9.12 | $28.84 | $52.48 |
Blue Shield Setting Professional Modifier None Typical Low $1.95 Median $2.82 Typical High $5.13 | Professional | None | $1.95 | $2.82 | $5.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $6.61 | Professional | None | $4.07 | $4.07 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $7.59 Typical High $16.98 | Facility | None | $3.39 | $7.59 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $4.37 Typical High $10.47 | Professional | None | $2.40 | $4.37 | $10.47 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.69 Median $5.50 Typical High $5.50 | Professional | None | $2.69 | $5.50 | $5.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $13.49 | Professional | None | $4.07 | $5.50 | $13.49 |
Lucent Health Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $30.20 | Professional | None | $7.08 | $10.00 | $30.20 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $6.03 | Professional | None | $3.02 | $3.02 | $6.03 |
Providence Setting Facility Modifier None Typical Low $3.55 Median $6.03 Typical High $13.18 | Facility | None | $3.55 | $6.03 | $13.18 |
Providence Setting Professional Modifier None Typical Low $2.45 Median $4.37 Typical High $10.00 | Professional | None | $2.45 | $4.37 | $10.00 |
Sutter Health Plus Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.24 Typical High $11.75 | Professional | None | $2.63 | $3.24 | $11.75 |
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 $1.86 Median $4.79 Typical High $11.48 | Facility | 52 · Reduced service | $1.86 | $4.79 | $11.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.74 Median $1.91 Typical High $4.57 | Facility | 53 · Discontinued | $0.74 | $1.91 | $4.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.66 Median $1.91 Typical High $2.19 | Professional | 52 · Reduced service | $1.66 | $1.91 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.76 Typical High $0.87 | Professional | 53 · Discontinued | $0.68 | $0.76 | $0.87 |
Where California sits
The same service costs 3.0 times more in Alaska than in Kentucky. 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
$4.57
AK $11.22KY $3.72
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.