How much rates vary
Facilitymedian $13 · 10th to 90th $4 to $41Professionalmedian $4 · 10th to 90th $2 to $12
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 $5.13 Median $12.02 Typical High $32.36 | Facility | None | $5.13 | $12.02 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $7.08 | Professional | None | $4.07 | $5.25 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $2.19 Median $2.95 Typical High $8.13 | Professional | None | $2.19 | $2.95 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $8.32 Typical High $21.88 | Facility | None | $5.37 | $8.32 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $14.13 | Professional | None | $2.19 | $3.02 | $14.13 |
Blue Shield Setting Facility Modifier None Typical Low $11.22 Median $40.74 Typical High $66.07 | Facility | None | $11.22 | $40.74 | $66.07 |
Blue Shield Setting Professional Modifier None Typical Low $2.69 Median $3.89 Typical High $7.08 | Professional | None | $2.69 | $3.89 | $7.08 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $5.75 | Professional | None | $3.55 | $3.55 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $6.61 Typical High $15.14 | Facility | None | $3.09 | $6.61 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $4.68 Typical High $14.45 | Professional | None | $2.88 | $4.68 | $14.45 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.89 Median $4.79 Typical High $4.79 | Professional | None | $3.89 | $4.79 | $4.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.72 Median $4.79 Typical High $12.30 | Professional | None | $3.72 | $4.79 | $12.30 |
Lucent Health Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $8.71 | Professional | None | $3.72 | $4.07 | $8.71 |
Molina Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $5.25 | Professional | None | $2.63 | $2.63 | $5.25 |
Providence Setting Facility Modifier None Typical Low $3.63 Median $5.75 Typical High $14.79 | Facility | None | $3.63 | $5.75 | $14.79 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $4.37 Typical High $10.96 | Professional | None | $2.95 | $4.37 | $10.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $11.75 | Professional | None | $1.86 | $2.63 | $11.75 |
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 $2.57 Median $6.76 Typical High $16.22 | Facility | 52 · Reduced service | $2.57 | $6.76 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.02 Median $2.69 Typical High $6.46 | Facility | 53 · Discontinued | $1.02 | $2.69 | $6.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $2.63 Typical High $2.63 | Professional | 52 · Reduced service | $1.86 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $1.05 Typical High $1.05 | Professional | 53 · Discontinued | $0.76 | $1.05 | $1.05 |
Where California sits
The same service costs 4.2 times more in Kansas 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· 19th of 51
$5.13
KS $13.80MD $3.31
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.