How much rates vary
Facilitymedian $8 · 10th to 90th $3 to $28Professionalmedian $3 · 10th to 90th $1 to $8
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 $3.16 Median $8.71 Typical High $21.88 | Facility | None | $3.16 | $8.71 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.55 Typical High $4.17 | Professional | None | $2.57 | $3.55 | $4.17 |
Ambetter Setting Professional Modifier None Typical Low $1.86 Median $2.00 Typical High $2.09 | Professional | None | $1.86 | $2.00 | $2.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.72 Median $5.75 Typical High $14.79 | Facility | None | $3.72 | $5.75 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $2.14 Typical High $6.76 | Professional | None | $1.48 | $2.14 | $6.76 |
Blue Shield Setting Facility Modifier None Typical Low $7.76 Median $27.54 Typical High $50.12 | Facility | None | $7.76 | $27.54 | $50.12 |
Blue Shield Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $4.79 | Professional | None | $1.86 | $2.63 | $4.79 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.89 | Professional | None | $2.40 | $2.40 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $4.57 Typical High $10.47 | Facility | None | $2.09 | $4.57 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $3.24 Typical High $9.55 | Professional | None | $1.91 | $3.24 | $9.55 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.69 Median $3.31 Typical High $3.31 | Professional | None | $2.69 | $3.31 | $3.31 |
HealthNet Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.57 Median $3.31 Typical High $8.51 | Professional | None | $2.57 | $3.31 | $8.51 |
Molina Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $3.63 | Professional | None | $1.82 | $1.82 | $3.63 |
Providence Setting Facility Modifier None Typical Low $2.51 Median $3.89 Typical High $10.00 | Facility | None | $2.51 | $3.89 | $10.00 |
Providence Setting Professional Modifier None Typical Low $1.91 Median $3.02 Typical High $7.76 | Professional | None | $1.91 | $3.02 | $7.76 |
Sutter Health Plus Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.82 Typical High $8.13 | Professional | None | $1.26 | $1.82 | $8.13 |
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 $1.78 Median $4.57 Typical High $10.96 | Facility | 52 · Reduced service | $1.78 | $4.57 | $10.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.71 Median $1.82 Typical High $4.37 | Facility | 53 · Discontinued | $0.71 | $1.82 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.82 Typical High $1.82 | Professional | 52 · Reduced service | $1.29 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.72 Typical High $0.72 | Professional | 53 · Discontinued | $0.51 | $0.72 | $0.72 |
Where California sits
The same service costs 3.4 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· 17th of 51
$3.47
AK $7.76MD $2.29
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.