How much rates vary
Facilitymedian $18 · 10th to 90th $3 to $63Professionalmedian $8 · 10th to 90th $4 to $20
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 $10.00 Median $19.50 Typical High $69.18 | Facility | None | $10.00 | $19.50 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $14.13 | Professional | None | $8.32 | $10.23 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $3.98 Median $5.25 Typical High $8.71 | Professional | None | $3.98 | $5.25 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $42.66 | Facility | None | $10.72 | $15.49 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $6.17 Typical High $19.50 | Professional | None | $4.27 | $6.17 | $19.50 |
Blue Shield Setting Facility Modifier None Typical Low $22.39 Median $70.79 Typical High $131.83 | Facility | None | $22.39 | $70.79 | $131.83 |
Blue Shield Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $13.80 | Professional | None | $5.37 | $7.59 | $13.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $11.22 | Professional | None | $6.92 | $6.92 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $13.18 Typical High $28.84 | Facility | None | $6.03 | $13.18 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $9.33 Typical High $28.18 | Professional | None | $5.62 | $9.33 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $9.55 | Professional | None | $7.59 | $9.55 | $9.55 |
HealthNet Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $23.99 | Professional | None | $7.41 | $8.71 | $23.99 |
Lucent Health Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $17.38 | Professional | None | $7.41 | $10.47 | $17.38 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $10.47 | Professional | None | $5.25 | $5.25 | $10.47 |
Providence Setting Facility Modifier None Typical Low $7.24 Median $10.96 Typical High $25.70 | Facility | None | $7.24 | $10.96 | $25.70 |
Providence Setting Professional Modifier None Typical Low $5.62 Median $8.71 Typical High $21.38 | Professional | None | $5.62 | $8.71 | $21.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $2.95 Median $3.63 Typical High $44.67 | Facility | None | $2.95 | $3.63 | $44.67 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.25 Typical High $23.44 | Professional | None | $3.63 | $5.25 | $23.44 |
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 $5.01 Median $13.18 Typical High $31.62 | Facility | 52 · Reduced service | $5.01 | $13.18 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $5.25 Typical High $12.59 | Facility | 53 · Discontinued | $2.04 | $5.25 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $3.72 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $1.48 | $2.04 | $2.04 |
Where California sits
The same service costs 13.2 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· 22nd of 51
$10.00
VT $85.11MD $6.46
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.