How much rates vary
Facilitymedian $11 · 10th to 90th $5 to $51Professionalmedian $4 · 10th to 90th $2 to $11
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 $5.50 Median $13.18 Typical High $33.88 | Facility | None | $5.50 | $13.18 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.62 Typical High $7.59 | Professional | None | $4.37 | $5.62 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $3.31 Typical High $4.57 | Professional | None | $2.51 | $3.31 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $9.12 Typical High $25.12 | Facility | None | $6.31 | $9.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.39 Typical High $10.72 | Professional | None | $2.34 | $3.39 | $10.72 |
Blue Shield Setting Facility Modifier None Typical Low $12.30 Median $43.65 Typical High $72.44 | Facility | None | $12.30 | $43.65 | $72.44 |
Blue Shield Setting Professional Modifier None Typical Low $2.95 Median $4.17 Typical High $7.59 | Professional | None | $2.95 | $4.17 | $7.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $6.61 | Professional | None | $4.07 | $4.07 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $7.76 Typical High $16.98 | Facility | None | $3.39 | $7.76 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $5.25 Typical High $15.14 | Professional | None | $3.09 | $5.25 | $15.14 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.27 Median $5.62 Typical High $5.62 | Professional | None | $4.27 | $5.62 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.37 Median $5.62 Typical High $14.13 | Professional | None | $4.37 | $5.62 | $14.13 |
Lucent Health Setting Professional Modifier None Typical Low $4.27 Median $4.79 Typical High $7.08 | Professional | None | $4.27 | $4.79 | $7.08 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $6.17 | Professional | None | $3.02 | $3.02 | $6.17 |
Providence Setting Facility Modifier None Typical Low $4.07 Median $6.46 Typical High $16.22 | Facility | None | $4.07 | $6.46 | $16.22 |
Providence Setting Professional Modifier None Typical Low $3.16 Median $5.13 Typical High $11.75 | Professional | None | $3.16 | $5.13 | $11.75 |
Sutter Health Plus Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $5.13 | Facility | None | $2.14 | $2.14 | $5.13 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.02 Typical High $13.18 | Professional | None | $2.14 | $3.02 | $13.18 |
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 $2.75 Median $7.24 Typical High $17.38 | Facility | 52 · Reduced service | $2.75 | $7.24 | $17.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.12 Median $2.88 Typical High $6.92 | Facility | 53 · Discontinued | $1.12 | $2.88 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.14 Median $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.14 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $0.85 | $1.12 | $1.12 |
Where California sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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
$5.50
KS $12.88NJ $3.63
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.