How much rates vary
Facilitymedian $7 · 10th to 90th $3 to $35Professionalmedian $3 · 10th to 90th $1 to $10
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 $3.47 Median $7.08 Typical High $23.99 | Facility | None | $3.47 | $7.08 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.55 Typical High $5.01 | Professional | None | $3.02 | $3.55 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $1.38 Median $1.82 Typical High $3.31 | Professional | None | $1.38 | $1.82 | $3.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.72 Median $5.62 Typical High $14.79 | Facility | None | $3.72 | $5.62 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $2.14 Typical High $12.30 | Professional | None | $1.48 | $2.14 | $12.30 |
Blue Shield Setting Facility Modifier None Typical Low $12.02 Median $30.90 Typical High $60.26 | Facility | None | $12.02 | $30.90 | $60.26 |
Blue Shield Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $4.79 | Professional | None | $1.86 | $2.63 | $4.79 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.89 | Professional | None | $2.40 | $2.40 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $5.13 Typical High $10.23 | Facility | None | $2.09 | $5.13 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $3.24 Typical High $12.88 | Professional | None | $1.91 | $3.24 | $12.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.45 Median $3.31 Typical High $3.31 | Professional | None | $2.45 | $3.31 | $3.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.51 Median $3.31 Typical High $8.32 | Professional | None | $2.51 | $3.31 | $8.32 |
Lucent Health Setting Professional Modifier None Typical Low $2.57 Median $3.72 Typical High $5.75 | Professional | None | $2.57 | $3.72 | $5.75 |
Molina Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $3.63 | Professional | None | $1.82 | $1.82 | $3.63 |
Providence Setting Facility Modifier None Typical Low $2.45 Median $3.98 Typical High $11.75 | Facility | None | $2.45 | $3.98 | $11.75 |
Providence Setting Professional Modifier None Typical Low $1.91 Median $3.02 Typical High $11.48 | Professional | None | $1.91 | $3.02 | $11.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.78 Typical High $7.94 | Professional | None | $1.26 | $1.78 | $7.94 |
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 $1.74 Median $4.57 Typical High $10.96 | Facility | 52 · Reduced service | $1.74 | $4.57 | $10.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.71 Median $1.82 Typical High $4.37 | Facility | 53 · Discontinued | $0.71 | $1.82 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.26 Median $1.78 Typical High $1.78 | Professional | 52 · Reduced service | $1.26 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.71 Typical High $0.71 | Professional | 53 · Discontinued | $0.51 | $0.71 | $0.71 |
Where California sits
The same service costs 28.2 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· 27th of 51
$3.47
VT $63.10MD $2.24
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.