How much rates vary
Facilitymedian $51 · 10th to 90th $23 to $257Professionalmedian $21 · 10th to 90th $12 to $63
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 $28.18 Median $70.79 Typical High $177.83 | Facility | None | $28.18 | $70.79 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $32.36 | Professional | None | $20.89 | $28.84 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $43.65 Typical High $120.23 | Facility | None | $30.20 | $43.65 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $54.95 | Professional | None | $12.02 | $17.38 | $54.95 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $194.98 Typical High $371.54 | Facility | None | $56.23 | $194.98 | $371.54 |
Blue Shield Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $38.90 | Professional | None | $15.14 | $21.38 | $38.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $31.62 | Professional | None | $19.50 | $19.50 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $37.15 Typical High $81.28 | Facility | None | $16.98 | $37.15 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $81.28 | Professional | None | $15.85 | $26.30 | $81.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $26.92 | Professional | None | $21.88 | $26.92 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $67.61 | Professional | None | $20.89 | $26.92 | $67.61 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $29.51 | Professional | None | $14.45 | $14.45 | $29.51 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $30.90 Typical High $72.44 | Facility | None | $20.42 | $30.90 | $72.44 |
Providence Setting Professional Modifier None Typical Low $15.85 Median $24.55 Typical High $61.66 | Professional | None | $15.85 | $24.55 | $61.66 |
Sutter Health Plus Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $24.55 | Facility | None | $10.23 | $10.23 | $24.55 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $66.07 | Professional | None | $10.23 | $14.45 | $66.07 |
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 $14.13 Median $37.15 Typical High $89.13 | Facility | 52 · Reduced service | $14.13 | $37.15 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $14.79 Typical High $35.48 | Facility | 53 · Discontinued | $5.75 | $14.79 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $10.47 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $4.17 | $5.89 | $5.89 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 90 · Outside lab | $16.98 | $16.98 | $16.98 |
Where California sits
The same service costs 4.0 times more in Kansas than in Alabama. 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· 22nd of 51
$25.70
KS $60.26AL $15.14
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.