How much rates vary
Facilitymedian $100 · 10th to 90th $46 to $468Professionalmedian $51 · 10th to 90th $21 to $372
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 $50.12 Median $131.83 Typical High $309.03 | Facility | None | $50.12 | $131.83 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $51.29 | Professional | None | $39.81 | $51.29 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $208.93 | Facility | None | $52.48 | $77.62 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $173.78 | Professional | None | $21.38 | $34.67 | $173.78 |
Blue Shield Setting Facility Modifier None Typical Low $85.11 Median $346.74 Typical High $645.65 | Facility | None | $85.11 | $346.74 | $645.65 |
Blue Shield Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $123.03 | Professional | None | $26.30 | $38.02 | $123.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $33.88 Median $38.90 Typical High $72.44 | Professional | None | $33.88 | $38.90 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $77.62 Typical High $151.36 | Facility | None | $34.67 | $77.62 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $229.09 | Professional | None | $28.18 | $51.29 | $229.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $46.77 Typical High $57.54 | Professional | None | $38.02 | $46.77 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $114.82 | Professional | None | $38.90 | $48.98 | $114.82 |
Lucent Health Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $371.54 | Professional | None | $323.59 | $371.54 | $371.54 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $70.79 Typical High $141.25 | Facility | None | $39.81 | $70.79 | $141.25 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $53.70 Typical High $229.09 | Professional | None | $28.84 | $53.70 | $229.09 |
Sutter Health Plus Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $42.66 | Facility | None | $17.78 | $17.78 | $42.66 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $169.82 | Professional | None | $17.78 | $25.70 | $169.82 |
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 $25.12 Median $64.57 Typical High $154.88 | Facility | 52 · Reduced service | $25.12 | $64.57 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $26.30 Typical High $63.10 | Facility | 53 · Discontinued | $10.00 | $26.30 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $19.95 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $8.13 | $10.23 | $10.23 |
Where California sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 14th of 51
$56.23
AK $95.50DE $28.84
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.