How much rates vary
Facilitymedian $13 · 10th to 90th $2 to $46Professionalmedian $5 · 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 $7.08 Median $12.88 Typical High $42.66 | Facility | None | $7.08 | $12.88 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $12.30 | Professional | None | $6.03 | $7.24 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $2.75 Median $3.63 Typical High $7.24 | Professional | None | $2.75 | $3.63 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $11.48 Typical High $29.51 | Facility | None | $7.41 | $11.48 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $4.27 Typical High $13.49 | Professional | None | $2.95 | $4.27 | $13.49 |
Blue Shield Setting Facility Modifier None Typical Low $15.49 Median $53.70 Typical High $91.20 | Facility | None | $15.49 | $53.70 | $91.20 |
Blue Shield Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $9.55 | Professional | None | $3.72 | $5.37 | $9.55 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $7.76 | Professional | None | $4.79 | $4.79 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $9.12 Typical High $20.89 | Facility | None | $4.17 | $9.12 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $6.46 Typical High $19.95 | Professional | None | $3.80 | $6.46 | $19.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.37 Median $6.61 Typical High $6.61 | Professional | None | $5.37 | $6.61 | $6.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.13 Median $6.03 Typical High $16.98 | Professional | None | $5.13 | $6.03 | $16.98 |
Lucent Health Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $19.95 | Professional | None | $5.25 | $8.32 | $19.95 |
Molina Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $7.24 | Professional | None | $3.63 | $3.63 | $7.24 |
Providence Setting Facility Modifier None Typical Low $5.01 Median $7.59 Typical High $18.20 | Facility | None | $5.01 | $7.59 | $18.20 |
Providence Setting Professional Modifier None Typical Low $3.89 Median $6.03 Typical High $14.79 | Professional | None | $3.89 | $6.03 | $14.79 |
Sutter Health Plus Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
United Setting Facility Modifier None Typical Low $2.00 Median $2.51 Typical High $15.14 | Facility | None | $2.00 | $2.51 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $16.22 | Professional | None | $2.51 | $3.63 | $16.22 |
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 $3.55 Median $9.12 Typical High $21.88 | Facility | 52 · Reduced service | $3.55 | $9.12 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.41 Median $3.63 Typical High $8.71 | Facility | 53 · Discontinued | $1.41 | $3.63 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $2.57 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.02 | $1.45 | $1.45 |
Where California sits
The same service costs 14.5 times more in Minnesota 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· 25th of 51
$6.92
MN $64.57MD $4.47
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.