How much rates vary
Facilitymedian $63 · 10th to 90th $26 to $229Professionalmedian $30 · 10th to 90th $12 to $224
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 $21.38 Median $23.99 Typical High $23.99 | Professional | None | $21.38 | $23.99 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $53.70 Typical High $147.91 | Facility | None | $36.31 | $53.70 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $107.15 | Professional | None | $12.02 | $16.22 | $107.15 |
Blue Shield Setting Facility Modifier None Typical Low $51.29 Median $162.18 Typical High $302.00 | Facility | None | $51.29 | $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 $23.99 Median $26.92 Typical High $50.12 | Professional | None | $23.99 | $26.92 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $53.70 Typical High $100.00 | Facility | None | $21.88 | $53.70 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $32.36 Typical High $147.91 | Professional | None | $14.79 | $32.36 | $147.91 |
Contra Costa Health Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $39.81 | Professional | None | $21.88 | $33.11 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $79.43 | Professional | None | $26.92 | $33.88 | $79.43 |
Lucent Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $223.87 | Professional | None | $181.97 | $181.97 | $223.87 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $39.81 Typical High $91.20 | Facility | None | $24.55 | $39.81 | $91.20 |
Providence Setting Professional Modifier None Typical Low $14.79 Median $33.11 Typical High $147.91 | Professional | None | $14.79 | $33.11 | $147.91 |
Sutter Health Plus Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $29.51 | Facility | None | $12.59 | $12.59 | $29.51 |
United Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $117.49 | Professional | None | $11.75 | $17.78 | $117.49 |
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 $10.47 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $10.47 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.27 | $4.79 | $4.79 |
Where California sits
The same service costs 5.4 times more in Texas 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· 15th of 51
$34.67
TX $67.61AL $12.59
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.