How much rates vary
Facilitymedian $37 · 10th to 90th $16 to $182Professionalmedian $15 · 10th to 90th $9 to $44
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 $19.95 Median $52.48 Typical High $125.89 | Facility | None | $19.95 | $52.48 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $19.95 Typical High $20.42 | Professional | None | $13.18 | $19.95 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $30.90 Typical High $85.11 | Facility | None | $21.38 | $30.90 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $38.90 | Professional | None | $8.51 | $12.30 | $38.90 |
Blue Shield Setting Facility Modifier None Typical Low $43.65 Median $138.04 Typical High $257.04 | Facility | None | $43.65 | $138.04 | $257.04 |
Blue Shield Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $27.54 | Professional | None | $10.72 | $15.14 | $27.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $22.39 | Professional | None | $13.80 | $13.80 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $25.70 Typical High $58.88 | Facility | None | $12.02 | $25.70 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $57.54 | Professional | None | $11.22 | $18.62 | $57.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $19.05 | Professional | None | $15.14 | $19.05 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $47.86 | Professional | None | $14.45 | $19.05 | $47.86 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $20.42 | Professional | None | $10.23 | $10.23 | $20.42 |
Providence Setting Facility Modifier None Typical Low $14.13 Median $22.39 Typical High $57.54 | Facility | None | $14.13 | $22.39 | $57.54 |
Providence Setting Professional Modifier None Typical Low $11.22 Median $17.38 Typical High $43.65 | Professional | None | $11.22 | $17.38 | $43.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $17.38 | Facility | None | $7.24 | $7.24 | $17.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $45.71 | Professional | None | $7.24 | $10.23 | $45.71 |
5 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 $10.00 Median $26.30 Typical High $63.10 | Facility | 52 · Reduced service | $10.00 | $26.30 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $10.47 Typical High $25.12 | Facility | 53 · Discontinued | $3.98 | $10.47 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $7.24 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $2.95 | $4.07 | $4.07 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 90 · Outside lab | $12.02 | $12.02 | $12.02 |
Where California sits
The same service costs 3.3 times more in Kansas 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· 26th of 51
$17.78
KS $42.66MD $12.88
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.