How much rates vary
Facilitymedian $76 · 10th to 90th $27 to $204Professionalmedian $22 · 10th to 90th $12 to $62
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 $28.84 Median $70.79 Typical High $177.83 | Facility | None | $28.84 | $70.79 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $29.51 | Professional | None | $20.42 | $28.84 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.98 | Professional | None | $16.22 | $16.22 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $47.86 Typical High $131.83 | Facility | None | $33.11 | $47.86 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $53.70 | Professional | None | $12.02 | $17.38 | $53.70 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $194.98 Typical High $371.54 | Facility | None | $57.54 | $194.98 | $371.54 |
Blue Shield Setting Professional Modifier None Typical Low $15.14 Median $21.88 Typical High $38.90 | Professional | None | $15.14 | $21.88 | $38.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $34.67 | Professional | None | $21.38 | $21.38 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $40.74 Typical High $89.13 | Facility | None | $17.78 | $40.74 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $81.28 | Professional | None | $16.22 | $26.92 | $81.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $29.51 | Professional | None | $21.88 | $29.51 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $72.44 | Professional | None | $22.91 | $27.54 | $72.44 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $31.62 | Professional | None | $15.85 | $15.85 | $31.62 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $31.62 Typical High $79.43 | Facility | None | $20.42 | $31.62 | $79.43 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $61.66 | Professional | None | $16.22 | $26.92 | $61.66 |
Sutter Health Plus Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $67.61 | Professional | None | $11.22 | $15.85 | $67.61 |
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 $14.45 Median $37.15 Typical High $89.13 | Facility | 52 · Reduced service | $14.45 | $37.15 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $15.14 Typical High $35.48 | Facility | 53 · Discontinued | $5.75 | $15.14 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $10.96 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $4.37 | $5.89 | $5.89 |
Where California sits
The same service costs 3.7 times more in Alaska 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· 20th of 51
$28.84
AK $60.26AL $16.22
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.