How much rates vary
Facilitymedian $60 · 10th to 90th $25 to $229Professionalmedian $28 · 10th to 90th $11 to $200
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 $33.11 Median $47.86 Typical High $131.83 | Facility | None | $33.11 | $47.86 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $97.72 | Professional | None | $10.72 | $16.22 | $97.72 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $162.18 Typical High $302.00 | Facility | None | $50.12 | $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 $21.38 Median $23.99 Typical High $45.71 | Professional | None | $21.38 | $23.99 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $47.86 Typical High $89.13 | Facility | None | $20.42 | $47.86 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $28.84 Typical High $131.83 | Professional | None | $14.79 | $28.84 | $131.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $36.31 | Professional | None | $21.38 | $29.51 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $72.44 | Professional | None | $23.99 | $30.90 | $72.44 |
Lucent Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | None | $181.97 | $181.97 | $199.53 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $38.02 Typical High $81.28 | Facility | None | $23.99 | $38.02 | $81.28 |
Providence Setting Professional Modifier None Typical Low $14.79 Median $29.51 Typical High $131.83 | Professional | None | $14.79 | $29.51 | $131.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $26.92 | Facility | None | $11.22 | $11.22 | $26.92 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $107.15 | Professional | None | $11.22 | $16.22 | $107.15 |
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 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· 11th of 51
$33.11
AK $60.26AL $11.22
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.