How much rates vary
Facilitymedian $98 · 10th to 90th $45 to $457Professionalmedian $50 · 10th to 90th $20 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 $48.98 Median $125.89 Typical High $302.00 | Facility | None | $48.98 | $125.89 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $50.12 | Professional | None | $38.90 | $50.12 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $204.17 | Facility | None | $51.29 | $74.13 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $165.96 | Professional | None | $20.42 | $33.88 | $165.96 |
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 $33.11 Median $37.15 Typical High $70.79 | Professional | None | $33.11 | $37.15 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $74.13 Typical High $147.91 | Facility | None | $33.88 | $74.13 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $223.87 | Professional | None | $27.54 | $50.12 | $223.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $56.23 | Professional | None | $37.15 | $45.71 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $112.20 | Professional | None | $37.15 | $47.86 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $363.08 | Professional | None | $316.23 | $363.08 | $363.08 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Providence Setting Facility Modifier None Typical Low $38.90 Median $69.18 Typical High $138.04 | Facility | None | $38.90 | $69.18 | $138.04 |
Providence Setting Professional Modifier None Typical Low $27.54 Median $52.48 Typical High $223.87 | Professional | None | $27.54 | $52.48 | $223.87 |
Sutter Health Plus Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $41.69 | Facility | None | $17.38 | $17.38 | $41.69 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $165.96 | Professional | None | $17.38 | $25.12 | $165.96 |
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 $19.50 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $19.50 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $7.76 | $10.00 | $10.00 |
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
$53.70
AK $93.33DE $28.18
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.