How much rates vary
Facilitymedian $27 · 10th to 90th $12 to $138Professionalmedian $11 · 10th to 90th $6 to $30
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 $15.14 Median $30.90 Typical High $93.33 | Facility | None | $15.14 | $30.90 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $19.50 | Professional | None | $12.30 | $15.49 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.61 Typical High $14.13 | Professional | None | $6.03 | $6.61 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $64.57 | Facility | None | $15.85 | $23.44 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $28.84 | Professional | None | $6.46 | $8.91 | $28.84 |
Blue Shield Setting Facility Modifier None Typical Low $33.11 Median $104.71 Typical High $194.98 | Facility | None | $33.11 | $104.71 | $194.98 |
Blue Shield Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $20.89 | Professional | None | $7.94 | $11.48 | $20.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $14.45 | Professional | None | $10.47 | $10.47 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.50 Typical High $43.65 | Facility | None | $9.12 | $19.50 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $42.66 | Professional | None | $8.51 | $13.80 | $42.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $14.13 | Professional | None | $10.96 | $14.13 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $34.67 | Professional | None | $10.96 | $12.88 | $34.67 |
Lucent Health Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $25.70 | Professional | None | $10.96 | $12.30 | $25.70 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Providence Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $40.74 | Facility | None | $10.72 | $16.22 | $40.74 |
Providence Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $32.36 | Professional | None | $8.51 | $12.88 | $32.36 |
Sutter Health Plus Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $12.88 | Facility | None | $5.50 | $5.50 | $12.88 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.76 Typical High $34.67 | Professional | None | $5.50 | $7.76 | $34.67 |
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 $7.59 Median $19.50 Typical High $46.77 | Facility | 52 · Reduced service | $7.59 | $19.50 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $7.94 Typical High $19.05 | Facility | 53 · Discontinued | $3.02 | $7.94 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $5.50 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $2.19 | $3.09 | $3.09 |
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
$14.45
VT $81.28MD $9.77
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.