How much rates vary
Facilitymedian $49 · 10th to 90th $21 to $224Professionalmedian $22 · 10th to 90th $10 to $182
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 $23.44 Median $61.66 Typical High $144.54 | Facility | None | $23.44 | $61.66 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $23.99 Typical High $23.99 | Professional | None | $19.05 | $23.99 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $97.72 | Facility | None | $24.55 | $36.31 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $81.28 | Professional | None | $10.00 | $16.22 | $81.28 |
Blue Shield Setting Facility Modifier None Typical Low $47.86 Median $162.18 Typical High $302.00 | Facility | None | $47.86 | $162.18 | $302.00 |
Blue Shield Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $57.54 | Professional | None | $12.30 | $17.78 | $57.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $33.88 | Professional | None | $16.22 | $18.20 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $36.31 Typical High $70.79 | Facility | None | $16.22 | $36.31 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $107.15 | Professional | None | $13.18 | $23.99 | $107.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.78 Median $21.88 Typical High $26.92 | Professional | None | $17.78 | $21.88 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $53.70 | Professional | None | $18.20 | $22.91 | $53.70 |
Lucent Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $34.67 Typical High $66.07 | Facility | None | $18.62 | $34.67 | $66.07 |
Providence Setting Professional Modifier None Typical Low $13.18 Median $25.12 Typical High $107.15 | Professional | None | $13.18 | $25.12 | $107.15 |
Sutter Health Plus Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $19.95 | Facility | None | $8.51 | $8.51 | $19.95 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $79.43 | Professional | None | $8.51 | $12.02 | $79.43 |
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 $11.75 Median $30.20 Typical High $72.44 | Facility | 52 · Reduced service | $11.75 | $30.20 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $12.30 Typical High $29.51 | Facility | 53 · Discontinued | $4.68 | $12.30 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $9.33 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $3.80 | $4.79 | $4.79 |
Where California sits
The same service costs 4.3 times more in Alaska than in Alabama. 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· 18th of 51
$23.99
AK $44.67AL $10.47
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.