How much rates vary
Facilitymedian $28 · 10th to 90th $12 to $132Professionalmedian $10 · 10th to 90th $6 to $55
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 $14.13 Median $37.15 Typical High $89.13 | Facility | None | $14.13 | $37.15 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $14.45 | Professional | None | $11.48 | $14.45 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $21.88 Typical High $60.26 | Facility | None | $14.79 | $21.88 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $22.91 | Professional | None | $6.03 | $6.03 | $22.91 |
Blue Shield Setting Facility Modifier None Typical Low $30.90 Median $97.72 Typical High $181.97 | Facility | None | $30.90 | $97.72 | $181.97 |
Blue Shield Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $12.30 | Professional | None | $7.59 | $10.72 | $12.30 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $20.42 | Professional | None | $9.77 | $9.77 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $21.88 Typical High $42.66 | Facility | None | $9.77 | $21.88 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $26.30 | Professional | None | $6.76 | $10.00 | $26.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $13.18 | Professional | None | $10.47 | $12.59 | $13.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $23.99 | Professional | None | $10.96 | $12.02 | $23.99 |
Lucent Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $9.55 Median $19.50 Typical High $38.90 | Facility | None | $9.55 | $19.50 | $38.90 |
Providence Setting Professional Modifier None Typical Low $6.46 Median $10.00 Typical High $26.30 | Professional | None | $6.46 | $10.00 | $26.30 |
Sutter Health Plus Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $12.02 | Facility | None | $5.13 | $5.13 | $12.02 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $15.14 | Professional | None | $5.13 | $7.08 | $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 $7.08 Median $18.62 Typical High $43.65 | Facility | 52 · Reduced service | $7.08 | $18.62 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $7.41 Typical High $17.78 | Facility | 53 · Discontinued | $2.82 | $7.41 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $5.75 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.88 | $2.88 |
Where California sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 28th of 51
$9.55
AK $27.54TX $6.92
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.