How much rates vary
Facilitymedian $14 · 10th to 90th $6 to $69Professionalmedian $6 · 10th to 90th $3 to $14
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 $7.59 Median $17.78 Typical High $46.77 | Facility | None | $7.59 | $17.78 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $9.77 | Professional | None | $5.89 | $7.76 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $7.08 | Professional | None | $2.95 | $3.98 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $12.30 Typical High $31.62 | Facility | None | $7.94 | $12.30 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $4.57 Typical High $14.13 | Professional | None | $3.16 | $4.57 | $14.13 |
Blue Shield Setting Facility Modifier None Typical Low $16.60 Median $57.54 Typical High $97.72 | Facility | None | $16.60 | $57.54 | $97.72 |
Blue Shield Setting Professional Modifier None Typical Low $3.98 Median $5.75 Typical High $10.23 | Professional | None | $3.98 | $5.75 | $10.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $8.32 | Professional | None | $5.13 | $5.13 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $9.77 Typical High $22.39 | Facility | None | $4.47 | $9.77 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $21.88 | Professional | None | $4.27 | $7.08 | $21.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $7.08 | Professional | None | $5.62 | $7.08 | $7.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.50 Median $6.46 Typical High $18.20 | Professional | None | $5.50 | $6.46 | $18.20 |
Lucent Health Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $9.77 | Professional | None | $5.37 | $6.03 | $9.77 |
Molina Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $7.76 | Professional | None | $3.89 | $3.89 | $7.76 |
Providence Setting Facility Modifier None Typical Low $5.37 Median $8.32 Typical High $21.88 | Facility | None | $5.37 | $8.32 | $21.88 |
Providence Setting Professional Modifier None Typical Low $4.27 Median $6.46 Typical High $16.22 | Professional | None | $4.27 | $6.46 | $16.22 |
Sutter Health Plus Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
United Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $6.46 | Facility | None | $2.69 | $2.69 | $6.46 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.89 Typical High $17.38 | Professional | None | $2.69 | $3.89 | $17.38 |
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 $3.80 Median $9.77 Typical High $23.44 | Facility | 52 · Reduced service | $3.80 | $9.77 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $3.98 Typical High $9.33 | Facility | 53 · Discontinued | $1.51 | $3.98 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $2.75 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.10 | $1.55 | $1.55 |
Where California sits
The same service costs 3.7 times more in Alaska 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· 19th of 51
$7.08
AK $17.78MD $4.79
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.