How much rates vary
Facilitymedian $69 · 10th to 90th $32 to $363Professionalmedian $30 · 10th to 90th $17 to $87
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 $39.81 Median $97.72 Typical High $245.47 | Facility | None | $39.81 | $97.72 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $39.81 Typical High $40.74 | Professional | None | $28.84 | $39.81 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $22.39 | Professional | None | $16.98 | $20.42 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $165.96 | Facility | None | $41.69 | $60.26 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $23.99 Typical High $75.86 | Professional | None | $16.60 | $23.99 | $75.86 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $269.15 Typical High $512.86 | Facility | None | $67.61 | $269.15 | $512.86 |
Blue Shield Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $53.70 | Professional | None | $20.89 | $30.20 | $53.70 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $38.90 | Professional | None | $26.92 | $26.92 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $51.29 Typical High $114.82 | Facility | None | $23.44 | $51.29 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $112.20 | Professional | None | $21.88 | $36.31 | $112.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | None | $30.20 | $37.15 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $93.33 | Professional | None | $28.84 | $37.15 | $93.33 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $40.74 | Professional | None | $20.42 | $20.42 | $40.74 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $42.66 Typical High $109.65 | Facility | None | $28.18 | $42.66 | $109.65 |
Providence Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $85.11 | Professional | None | $21.88 | $33.88 | $85.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $33.88 | Facility | None | $14.13 | $14.13 | $33.88 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $91.20 | Professional | None | $14.13 | $20.42 | $91.20 |
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 $19.95 Median $51.29 Typical High $123.03 | Facility | 52 · Reduced service | $19.95 | $51.29 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $20.42 Typical High $48.98 | Facility | 53 · Discontinued | $7.94 | $20.42 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $14.45 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.75 | $8.13 | $8.13 |
Where California sits
The same service costs 3.7 times more in Alaska 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· 23rd of 51
$33.88
AK $93.33MD $25.12
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.