How much rates vary
Facilitymedian $117 · 10th to 90th $51 to $468Professionalmedian $56 · 10th to 90th $22 to $417
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 $48.98 Median $125.89 Typical High $302.00 | Facility | None | $48.98 | $125.89 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $58.88 | Professional | None | $43.65 | $50.12 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $100.00 Typical High $275.42 | Facility | None | $69.18 | $100.00 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $33.88 Typical High $199.53 | Professional | None | $22.39 | $33.88 | $199.53 |
Blue Shield Setting Facility Modifier None Typical Low $83.18 Median $331.13 Typical High $630.96 | Facility | None | $83.18 | $331.13 | $630.96 |
Blue Shield Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $120.23 | Professional | None | $25.70 | $37.15 | $120.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $95.50 | Professional | None | $44.67 | $50.12 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $100.00 Typical High $186.21 | Facility | None | $42.66 | $100.00 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $58.88 Typical High $275.42 | Professional | None | $30.90 | $58.88 | $275.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $75.86 | Professional | None | $44.67 | $61.66 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $147.91 | Professional | None | $50.12 | $64.57 | $147.91 |
Lucent Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None | $363.08 | $363.08 | $416.87 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $169.82 | Facility | None | $50.12 | $77.62 | $169.82 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $61.66 Typical High $275.42 | Professional | None | $30.90 | $61.66 | $275.42 |
Sutter Health Plus Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $56.23 | Facility | None | $23.44 | $23.44 | $56.23 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $218.78 | Professional | None | $23.44 | $33.11 | $218.78 |
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 $24.55 Median $63.10 Typical High $151.36 | Facility | 52 · Reduced service | $24.55 | $63.10 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $25.70 Typical High $60.26 | Facility | 53 · Discontinued | $9.77 | $25.70 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $21.88 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $8.71 | $10.00 | $10.00 |
Where California sits
The same service costs 3.8 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· 16th of 51
$63.10
AK $126DE $33.11
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.