How much rates vary
Facilitymedian $30 · 10th to 90th $17 to $138Professionalmedian $14 · 10th to 90th $9 to $44
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 $18.20 Median $42.66 Typical High $112.20 | Facility | None | $18.20 | $42.66 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $25.12 | Professional | None | $15.49 | $18.62 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $32.36 Typical High $89.13 | Facility | None | $21.88 | $32.36 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.96 Typical High $38.90 | Professional | None | $8.91 | $10.96 | $38.90 |
Blue Shield Setting Facility Modifier None Typical Low $41.69 Median $125.89 Typical High $239.88 | Facility | None | $41.69 | $125.89 | $239.88 |
Blue Shield Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $21.88 | Professional | None | $10.00 | $14.45 | $21.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $20.89 | Professional | None | $14.45 | $14.45 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $28.84 Typical High $60.26 | Facility | None | $12.59 | $28.84 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $18.20 Typical High $51.29 | Professional | None | $10.72 | $18.20 | $51.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $19.50 | Professional | None | $15.85 | $19.50 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $50.12 | Professional | None | $15.14 | $19.50 | $50.12 |
Lucent Health Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $22.39 | Professional | None | $15.14 | $16.22 | $22.39 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $21.38 | Professional | None | $10.72 | $10.72 | $21.38 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $53.70 | Facility | None | $14.79 | $21.38 | $53.70 |
Providence Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $40.74 | Professional | None | $10.72 | $17.78 | $40.74 |
Sutter Health Plus Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $43.65 | Professional | None | $7.59 | $9.33 | $43.65 |
5 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 $9.12 Median $23.99 Typical High $57.54 | Facility | 52 · Reduced service | $9.12 | $23.99 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $9.55 Typical High $22.91 | Facility | 53 · Discontinued | $3.72 | $9.55 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $7.24 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $2.88 | $3.80 | $3.80 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $10.96 Median $12.02 Typical High $28.18 | Professional | 59 · Distinct service | $10.96 | $12.02 | $28.18 |
Where California sits
The same service costs 3.3 times more in Alaska than in Georgia. 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· 23rd of 51
$18.20
AK $40.74GA $12.30
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.