How much rates vary
Facilitymedian $30 · 10th to 90th $14 to $110Professionalmedian $11 · 10th to 90th $6 to $32
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 $15.14 Median $35.48 Typical High $91.20 | Facility | None | $15.14 | $35.48 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $19.95 | Professional | None | $11.48 | $15.14 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | None | $7.24 | $7.24 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $25.70 Typical High $70.79 | Facility | None | $17.78 | $25.70 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $28.84 | Professional | None | $6.31 | $9.12 | $28.84 |
Blue Shield Setting Facility Modifier None Typical Low $33.88 Median $102.33 Typical High $194.98 | Facility | None | $33.88 | $102.33 | $194.98 |
Blue Shield Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $20.42 | Professional | None | $7.94 | $11.48 | $20.42 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $18.62 | Professional | None | $11.48 | $11.48 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $21.88 Typical High $47.86 | Facility | None | $9.77 | $21.88 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $13.80 Typical High $42.66 | Professional | None | $8.32 | $13.80 | $42.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $15.85 | Professional | None | $11.48 | $15.85 | $15.85 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $40.74 | Professional | None | $12.30 | $15.85 | $40.74 |
Lucent Health Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $19.50 | Professional | None | $12.30 | $13.49 | $19.50 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $17.38 | Professional | None | $8.71 | $8.71 | $17.38 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $17.38 Typical High $43.65 | Facility | None | $10.96 | $17.38 | $43.65 |
Providence Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $32.36 | Professional | None | $8.51 | $13.80 | $32.36 |
Sutter Health Plus Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $35.48 | Professional | None | $6.03 | $8.71 | $35.48 |
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 $7.59 Median $19.50 Typical High $46.77 | Facility | 52 · Reduced service | $7.59 | $19.50 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $7.76 Typical High $18.62 | Facility | 53 · Discontinued | $3.02 | $7.76 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $5.75 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $2.29 | $3.09 | $3.09 |
Where California sits
The same service costs 3.2 times more in Alaska 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· 22nd of 51
$15.14
AK $32.36NJ $10.00
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.