How much rates vary
Facilitymedian $83 · 10th to 90th $38 to $389Professionalmedian $39 · 10th to 90th $17 to $363
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 $40.74 Median $107.15 Typical High $257.04 | Facility | None | $40.74 | $107.15 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $41.69 | Professional | None | $30.90 | $41.69 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $63.10 Typical High $173.78 | Facility | None | $43.65 | $63.10 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $141.25 | Professional | None | $17.38 | $28.18 | $141.25 |
Blue Shield Setting Facility Modifier None Typical Low $70.79 Median $281.84 Typical High $524.81 | Facility | None | $70.79 | $281.84 | $524.81 |
Blue Shield Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $100.00 | Professional | None | $21.88 | $30.90 | $100.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $60.26 | Professional | None | $28.18 | $31.62 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $63.10 Typical High $125.89 | Facility | None | $28.18 | $63.10 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $41.69 Typical High $186.21 | Professional | None | $22.91 | $41.69 | $186.21 |
Contra Costa Health Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $47.86 | Professional | None | $30.90 | $38.90 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $93.33 | Professional | None | $31.62 | $40.74 | $93.33 |
Lucent Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $117.49 | Facility | None | $33.11 | $60.26 | $117.49 |
Providence Setting Professional Modifier None Typical Low $23.44 Median $43.65 Typical High $186.21 | Professional | None | $23.44 | $43.65 | $186.21 |
Sutter Health Plus Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $35.48 | Facility | None | $14.79 | $14.79 | $35.48 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $138.04 | Professional | None | $14.79 | $20.89 | $138.04 |
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 $20.42 Median $53.70 Typical High $128.82 | Facility | 52 · Reduced service | $20.42 | $53.70 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $21.38 Typical High $51.29 | Facility | 53 · Discontinued | $8.13 | $21.38 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $15.85 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $6.31 | $8.32 | $8.32 |
Where California sits
The same service costs 3.2 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· 21st of 51
$41.69
AK $79.43DE $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.