How much rates vary
Facilitymedian $74 · 10th to 90th $26 to $214Professionalmedian $22 · 10th to 90th $13 to $62
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 $26.92 Median $69.18 Typical High $186.21 | Facility | None | $26.92 | $69.18 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $30.20 | Professional | None | $19.50 | $29.51 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $17.78 | Professional | None | $15.49 | $15.49 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $45.71 Typical High $125.89 | Facility | None | $31.62 | $45.71 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $56.23 | Professional | None | $12.59 | $18.20 | $56.23 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $204.17 Typical High $389.05 | Facility | None | $57.54 | $204.17 | $389.05 |
Blue Shield Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $40.74 | Professional | None | $15.85 | $22.39 | $40.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $33.11 | Professional | None | $20.42 | $20.42 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $38.90 Typical High $89.13 | Facility | None | $17.78 | $38.90 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $27.54 Typical High $85.11 | Professional | None | $16.60 | $27.54 | $85.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | None | $22.91 | $28.18 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $70.79 | Professional | None | $21.88 | $28.18 | $70.79 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $30.90 | Professional | None | $15.49 | $15.49 | $30.90 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $32.36 Typical High $75.86 | Facility | None | $21.38 | $32.36 | $75.86 |
Providence Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $64.57 | Professional | None | $16.60 | $25.70 | $64.57 |
Sutter Health Plus Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $69.18 | Professional | None | $10.72 | $15.49 | $69.18 |
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 $14.79 Median $38.90 Typical High $93.33 | Facility | 52 · Reduced service | $14.79 | $38.90 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $15.49 Typical High $37.15 | Facility | 53 · Discontinued | $6.03 | $15.49 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $10.96 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $4.37 | $6.17 | $6.17 |
Where California sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 21st of 51
$28.18
AK $57.54AL $17.78
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.