How much rates vary
Facilitymedian $33 · 10th to 90th $15 to $158Professionalmedian $13 · 10th to 90th $8 to $38
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 $17.78 Median $41.69 Typical High $109.65 | Facility | None | $17.78 | $41.69 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $21.38 | Professional | None | $12.30 | $18.20 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $24.55 | Professional | None | $7.59 | $10.23 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $75.86 | Facility | None | $19.05 | $27.54 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $34.67 | Professional | None | $7.59 | $10.96 | $34.67 |
Blue Shield Setting Facility Modifier None Typical Low $38.90 Median $123.03 Typical High $229.09 | Facility | None | $38.90 | $123.03 | $229.09 |
Blue Shield Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $24.55 | Professional | None | $9.55 | $13.49 | $24.55 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $19.95 | Professional | None | $12.30 | $12.30 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $22.91 Typical High $52.48 | Facility | None | $10.72 | $22.91 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $50.12 | Professional | None | $10.00 | $16.22 | $50.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $16.98 | Professional | None | $13.49 | $16.98 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $40.74 | Professional | None | $12.88 | $16.98 | $40.74 |
Lucent Health Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $26.92 | Professional | None | $12.88 | $17.38 | $26.92 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $18.20 | Professional | None | $9.12 | $9.12 | $18.20 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $19.50 Typical High $48.98 | Facility | None | $12.59 | $19.50 | $48.98 |
Providence Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $38.02 | Professional | None | $10.00 | $15.14 | $38.02 |
Sutter Health Plus Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
United Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $15.14 | Facility | None | $6.46 | $6.46 | $15.14 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $40.74 | Professional | None | $6.46 | $9.12 | $40.74 |
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 $8.91 Median $23.44 Typical High $56.23 | Facility | 52 · Reduced service | $8.91 | $23.44 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $9.33 Typical High $22.39 | Facility | 53 · Discontinued | $3.55 | $9.33 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $6.46 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $2.57 | $3.63 | $3.63 |
Where California sits
The same service costs 11.5 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· 25th of 51
$16.22
VT $135MD $11.75
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.