How much rates vary
Facilitymedian $49 · 10th to 90th $22 to $309Professionalmedian $27 · 10th to 90th $14 to $81
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 $30.90 Median $79.43 Typical High $213.80 | Facility | None | $30.90 | $79.43 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $40.74 | Professional | None | $28.18 | $35.48 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $53.70 | Professional | None | $14.79 | $20.42 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $79.43 | Facility | None | $19.50 | $28.18 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $85.11 | Professional | None | $14.45 | $17.78 | $85.11 |
Blue Shield Setting Facility Modifier None Typical Low $63.10 Median $234.42 Typical High $446.68 | Facility | None | $63.10 | $234.42 | $446.68 |
Blue Shield Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $46.77 | Professional | None | $18.20 | $25.70 | $46.77 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $33.88 | Professional | None | $16.98 | $16.98 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $43.65 Typical High $102.33 | Facility | None | $20.42 | $43.65 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $100.00 | Professional | None | $26.92 | $33.11 | $100.00 |
Contra Costa Health Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | None | $26.30 | $32.36 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $81.28 | Professional | None | $25.12 | $32.36 | $81.28 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $17.78 Typical High $35.48 | Professional | None | $10.23 | $17.78 | $35.48 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $87.10 | Facility | None | $27.54 | $36.31 | $87.10 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $81.28 | Professional | None | $25.12 | $32.36 | $81.28 |
Sutter Health Plus Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $29.51 | Facility | None | $12.30 | $12.30 | $29.51 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $81.28 | Professional | None | $12.30 | $17.78 | $81.28 |
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 $16.98 Median $44.67 Typical High $107.15 | Facility | 52 · Reduced service | $16.98 | $44.67 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $17.78 Typical High $42.66 | Facility | 53 · Discontinued | $6.92 | $17.78 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $12.59 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $5.01 | $7.08 | $7.08 |
Where California sits
The same service costs 4.4 times more in Alaska 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· 25th of 51
$31.62
AK $66.07AL $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.