How much rates vary
Facilitymedian $12 · 10th to 90th $5 to $60Professionalmedian $5 · 10th to 90th $3 to $13
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 $6.03 Median $12.30 Typical High $40.74 | Facility | None | $6.03 | $12.30 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $9.12 | Professional | None | $5.62 | $6.76 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $2.63 Median $2.82 Typical High $6.92 | Professional | None | $2.63 | $2.82 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.92 Median $10.72 Typical High $28.18 | Facility | None | $6.92 | $10.72 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $12.88 | Professional | None | $2.82 | $3.98 | $12.88 |
Blue Shield Setting Facility Modifier None Typical Low $14.79 Median $50.12 Typical High $85.11 | Facility | None | $14.79 | $50.12 | $85.11 |
Blue Shield Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $9.12 | Professional | None | $3.55 | $5.01 | $9.12 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $7.41 | Professional | None | $4.57 | $4.57 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.51 Typical High $19.50 | Facility | None | $3.98 | $8.51 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $6.17 Typical High $18.62 | Professional | None | $3.63 | $6.17 | $18.62 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | None | $5.01 | $6.31 | $6.31 |
HealthNet Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.79 Median $5.62 Typical High $15.14 | Professional | None | $4.79 | $5.62 | $15.14 |
Lucent Health Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $11.22 | Professional | None | $4.79 | $5.37 | $11.22 |
Molina Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $6.76 | Professional | None | $3.39 | $3.39 | $6.76 |
Providence Setting Facility Modifier None Typical Low $4.68 Median $7.41 Typical High $20.89 | Facility | None | $4.68 | $7.41 | $20.89 |
Providence Setting Professional Modifier None Typical Low $3.63 Median $5.62 Typical High $14.45 | Professional | None | $3.63 | $5.62 | $14.45 |
Sutter Health Plus Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
United Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $5.62 | Facility | None | $2.40 | $2.40 | $5.62 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.39 Typical High $15.14 | Professional | None | $2.40 | $3.39 | $15.14 |
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 $3.31 Median $8.71 Typical High $20.42 | Facility | 52 · Reduced service | $3.31 | $8.71 | $20.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.32 Median $3.47 Typical High $8.32 | Facility | 53 · Discontinued | $1.32 | $3.47 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.40 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $2.40 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $0.95 | $1.35 | $1.35 |
Where California sits
The same service costs 13.5 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· 22nd of 51
$6.46
VT $57.54MD $4.27
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.