How much rates vary
Facilitymedian $12 · 10th to 90th $5 to $55Professionalmedian $5 · 10th to 90th $3 to $13
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 $6.03 Median $14.45 Typical High $37.15 | Facility | None | $6.03 | $14.45 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $6.03 Typical High $7.94 | Professional | None | $4.68 | $6.03 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $3.55 Typical High $5.25 | Professional | None | $2.88 | $3.55 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $10.96 Typical High $28.18 | Facility | None | $7.08 | $10.96 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.63 Typical High $11.75 | Professional | None | $2.57 | $3.63 | $11.75 |
Blue Shield Setting Facility Modifier None Typical Low $13.80 Median $45.71 Typical High $77.62 | Facility | None | $13.80 | $45.71 | $77.62 |
Blue Shield Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $8.32 | Professional | None | $3.24 | $4.57 | $8.32 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $7.59 | Professional | None | $4.57 | $4.57 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $8.71 Typical High $19.50 | Facility | None | $3.89 | $8.71 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $5.62 Typical High $16.98 | Professional | None | $3.39 | $5.62 | $16.98 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.57 Median $6.31 Typical High $6.31 | Professional | None | $4.57 | $6.31 | $6.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.90 Median $6.31 Typical High $16.22 | Professional | None | $4.90 | $6.31 | $16.22 |
Lucent Health Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $7.76 | Professional | None | $4.79 | $5.37 | $7.76 |
Molina Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $6.92 | Professional | None | $3.47 | $3.47 | $6.92 |
Providence Setting Facility Modifier None Typical Low $4.37 Median $7.24 Typical High $17.78 | Facility | None | $4.37 | $7.24 | $17.78 |
Providence Setting Professional Modifier None Typical Low $3.39 Median $5.62 Typical High $12.88 | Professional | None | $3.39 | $5.62 | $12.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $5.75 | Facility | None | $2.45 | $2.45 | $5.75 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $14.45 | Professional | None | $2.45 | $3.47 | $14.45 |
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 $3.02 Median $7.94 Typical High $19.05 | Facility | 52 · Reduced service | $3.02 | $7.94 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.20 Median $3.16 Typical High $7.59 | Facility | 53 · Discontinued | $1.20 | $3.16 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $3.09 Typical High $3.09 | Professional | 52 · Reduced service | $2.34 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.23 Typical High $1.23 | Professional | 53 · Discontinued | $0.93 | $1.23 | $1.23 |
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· 26th of 51
$5.75
AK $12.88NJ $4.07
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.