How much rates vary
Facilitymedian $39 · 10th to 90th $18 to $195Professionalmedian $18 · 10th to 90th $10 to $43
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 $21.38 Median $39.81 Typical High $134.90 | Facility | None | $21.38 | $39.81 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $35.48 | Professional | None | $18.20 | $21.88 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $20.42 | Professional | None | $8.71 | $9.12 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $33.11 Typical High $91.20 | Facility | None | $22.91 | $33.11 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $41.69 | Professional | None | $10.47 | $12.59 | $41.69 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $147.91 Typical High $275.42 | Facility | None | $44.67 | $147.91 | $275.42 |
Blue Shield Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $29.51 | Professional | None | $11.48 | $16.22 | $29.51 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $23.99 | Professional | None | $14.79 | $14.79 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $27.54 Typical High $64.57 | Facility | None | $12.88 | $27.54 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $19.50 Typical High $60.26 | Professional | None | $12.02 | $19.50 | $60.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $20.42 | Professional | None | $16.22 | $20.42 | $20.42 |
HealthNet Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $51.29 | Professional | None | $15.49 | $18.20 | $51.29 |
Lucent Health Setting Professional Modifier None Typical Low $15.49 Median $22.39 Typical High $36.31 | Professional | None | $15.49 | $22.39 | $36.31 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $21.88 | Professional | None | $10.96 | $10.96 | $21.88 |
Providence Setting Facility Modifier None Typical Low $15.14 Median $22.91 Typical High $58.88 | Facility | None | $15.14 | $22.91 | $58.88 |
Providence Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $45.71 | Professional | None | $12.02 | $18.20 | $45.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $18.20 | Facility | None | $7.76 | $7.76 | $18.20 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $48.98 | Professional | None | $7.76 | $10.96 | $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 $10.72 Median $28.18 Typical High $67.61 | Facility | 52 · Reduced service | $10.72 | $28.18 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $11.22 Typical High $26.92 | Facility | 53 · Discontinued | $4.27 | $11.22 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $7.76 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $3.16 | $4.37 | $4.37 |
Where California sits
The same service costs 7.1 times more in Vermont than in Illinois. 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
$21.38
VT $100IL $14.13
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.