How much rates vary
Facilitymedian $43 · 10th to 90th $19 to $174Professionalmedian $14 · 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 $19.05 Median $39.81 Typical High $117.49 | Facility | None | $19.05 | $39.81 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $19.50 | Professional | None | $14.79 | $19.05 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $13.18 | Professional | None | $10.72 | $12.88 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $38.02 Typical High $104.71 | Facility | None | $26.30 | $38.02 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $37.15 | Professional | None | $8.51 | $12.02 | $37.15 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $131.83 Typical High $251.19 | Facility | None | $44.67 | $131.83 | $251.19 |
Blue Shield Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $26.92 | Professional | None | $10.23 | $14.45 | $26.92 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.60 Median $16.98 Typical High $20.42 | Professional | None | $16.60 | $16.98 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $32.36 Typical High $70.79 | Facility | None | $14.13 | $32.36 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $17.78 Typical High $54.95 | Professional | None | $11.48 | $17.78 | $54.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.79 Median $23.44 Typical High $23.44 | Professional | None | $14.79 | $23.44 | $23.44 |
HealthNet Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $58.88 | Professional | None | $18.20 | $23.44 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $26.30 | Professional | None | $18.20 | $20.42 | $26.30 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $25.70 | Professional | None | $12.59 | $12.59 | $25.70 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $25.70 Typical High $56.23 | Facility | None | $15.49 | $25.70 | $56.23 |
Providence Setting Professional Modifier None Typical Low $11.48 Median $19.50 Typical High $43.65 | Professional | None | $11.48 | $19.50 | $43.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $21.38 | Facility | None | $8.91 | $8.91 | $21.38 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $48.98 | Professional | None | $8.91 | $12.59 | $48.98 |
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 $9.55 Median $25.12 Typical High $60.26 | Facility | 52 · Reduced service | $9.55 | $25.12 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $10.00 Typical High $23.99 | Facility | 53 · Discontinued | $3.80 | $10.00 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $8.13 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.24 | $3.98 | $3.98 |
Where California sits
The same service costs 11.7 times more in Vermont than in New Jersey. 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· 32nd of 51
$19.05
VT $174NJ $14.79
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.