How much rates vary
Facilitymedian $46 · 10th to 90th $21 to $224Professionalmedian $19 · 10th to 90th $11 to $49
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 $23.99 Median $46.77 Typical High $154.88 | Facility | None | $23.99 | $46.77 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $32.36 | Professional | None | $19.95 | $25.70 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $19.50 | Professional | None | $10.00 | $10.96 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $38.90 Typical High $107.15 | Facility | None | $26.92 | $38.90 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $48.98 | Professional | None | $10.72 | $15.49 | $48.98 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $173.78 Typical High $331.13 | Facility | None | $50.12 | $173.78 | $331.13 |
Blue Shield Setting Professional Modifier None Typical Low $13.49 Median $19.05 Typical High $34.67 | Professional | None | $13.49 | $19.05 | $34.67 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $28.18 | Professional | None | $17.38 | $17.38 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $33.11 Typical High $74.13 | Facility | None | $15.14 | $33.11 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $23.44 Typical High $70.79 | Professional | None | $14.13 | $23.44 | $70.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | None | $18.62 | $23.99 | $23.99 |
HealthNet Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $57.54 | Professional | None | $18.62 | $21.88 | $57.54 |
Lucent Health Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $42.66 | Professional | None | $18.62 | $26.92 | $42.66 |
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 $27.54 Typical High $64.57 | Facility | None | $18.20 | $27.54 | $64.57 |
Providence Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $54.95 | Professional | None | $14.13 | $21.88 | $54.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $21.88 | Facility | None | $9.12 | $9.12 | $21.88 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $58.88 | Professional | None | $9.12 | $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 $12.59 Median $33.11 Typical High $79.43 | Facility | 52 · Reduced service | $12.59 | $33.11 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $13.18 Typical High $31.62 | Facility | 53 · Discontinued | $5.13 | $13.18 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $9.33 | $12.88 | $12.88 |
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 4.8 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
$24.55
VT $77.62MD $16.22
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.