How much rates vary
Facilitymedian $23 · 10th to 90th $11 to $117Professionalmedian $10 · 10th to 90th $5 to $27
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 $13.18 Median $25.12 Typical High $79.43 | Facility | None | $13.18 | $25.12 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $13.18 Typical High $15.49 | Professional | None | $9.55 | $13.18 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $3.72 Median $5.62 Typical High $6.92 | Professional | None | $3.72 | $5.62 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $54.95 | Facility | None | $13.80 | $19.95 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $25.12 | Professional | None | $5.50 | $7.94 | $25.12 |
Blue Shield Setting Facility Modifier None Typical Low $28.84 Median $89.13 Typical High $169.82 | Facility | None | $28.84 | $89.13 | $169.82 |
Blue Shield Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $17.78 | Professional | None | $6.92 | $9.77 | $17.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $14.45 | Professional | None | $8.91 | $8.91 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $38.90 | Facility | None | $7.76 | $16.98 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $37.15 | Professional | None | $7.24 | $12.02 | $37.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $12.30 Typical High $12.30 | Professional | None | $10.00 | $12.30 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $12.30 Typical High $30.90 | Professional | None | $9.55 | $12.30 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $22.39 | Professional | None | $9.55 | $12.88 | $22.39 |
Molina Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $13.49 | Professional | None | $6.76 | $6.76 | $13.49 |
Providence Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $37.15 | Facility | None | $9.33 | $14.45 | $37.15 |
Providence Setting Professional Modifier None Typical Low $7.24 Median $11.22 Typical High $28.18 | Professional | None | $7.24 | $11.22 | $28.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $11.22 | Facility | None | $4.68 | $4.68 | $11.22 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $30.20 | Professional | None | $4.68 | $6.76 | $30.20 |
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 $6.46 Median $16.98 Typical High $40.74 | Facility | 52 · Reduced service | $6.46 | $16.98 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $6.76 Typical High $16.22 | Facility | 53 · Discontinued | $2.63 | $6.76 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $4.79 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $1.91 | $2.69 | $2.69 |
Where California sits
The same service costs 8.3 times more in Vermont 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· 24th of 51
$12.02
VT $69.18MD $8.32
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.