How much rates vary
Facilitymedian $66 · 10th to 90th $22 to $182Professionalmedian $19 · 10th to 90th $11 to $56
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 $23.44 Median $60.26 Typical High $158.49 | Facility | None | $23.44 | $60.26 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $26.30 | Professional | None | $17.78 | $25.70 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $14.79 | Professional | None | $10.96 | $13.49 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $39.81 Typical High $109.65 | Facility | None | $26.92 | $39.81 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $48.98 | Professional | None | $10.96 | $15.49 | $48.98 |
Blue Shield Setting Facility Modifier None Typical Low $51.29 Median $177.83 Typical High $331.13 | Facility | None | $51.29 | $177.83 | $331.13 |
Blue Shield Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $35.48 | Professional | None | $13.49 | $19.50 | $35.48 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $28.84 | Professional | None | $17.78 | $17.78 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $33.11 Typical High $75.86 | Facility | None | $15.49 | $33.11 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $72.44 | Professional | None | $14.45 | $23.44 | $72.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $23.99 | Professional | None | $19.50 | $23.99 | $23.99 |
HealthNet Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $61.66 | Professional | None | $18.62 | $23.99 | $61.66 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $26.30 | Professional | None | $13.18 | $13.18 | $26.30 |
Providence Setting Facility Modifier None Typical Low $18.20 Median $28.18 Typical High $72.44 | Facility | None | $18.20 | $28.18 | $72.44 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $54.95 | Professional | None | $14.45 | $21.88 | $54.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
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 $9.33 Median $13.18 Typical High $58.88 | Professional | None | $9.33 | $13.18 | $58.88 |
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 $12.88 Median $33.11 Typical High $79.43 | Facility | 52 · Reduced service | $12.88 | $33.11 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $13.49 Typical High $32.36 | Facility | 53 · Discontinued | $5.13 | $13.49 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $9.33 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $3.72 | $5.25 | $5.25 |
Where California sits
The same service costs 13.5 times more in Vermont than in Maryland. 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
$25.70
VT $224MD $16.60
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.