How much rates vary
Facilitymedian $63 · 10th to 90th $29 to $295Professionalmedian $34 · 10th to 90th $15 to $3,236
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 $28.18 Median $74.13 Typical High $194.98 | Facility | None | $28.18 | $74.13 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $37.15 | Professional | None | $26.30 | $31.62 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $23.99 Typical High $31.62 | Professional | None | $11.22 | $23.99 | $31.62 |
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 $15.14 Median $37.15 Typical High $123.03 | Professional | None | $15.14 | $37.15 | $123.03 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $213.80 Typical High $398.11 | Facility | None | $60.26 | $213.80 | $398.11 |
Blue Shield Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $75.86 | Professional | None | $16.60 | $23.44 | $75.86 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $354.81 | Professional | None | $21.38 | $21.38 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $47.86 Typical High $95.50 | Facility | None | $21.88 | $47.86 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $39.81 Typical High $141.25 | Professional | None | $17.38 | $39.81 | $141.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $36.31 | Professional | None | $23.44 | $29.51 | $36.31 |
HealthNet Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $64.57 | Professional | None | $26.92 | $36.31 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $70.79 | Professional | None | $26.30 | $29.51 | $70.79 |
Lucent Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $44.67 Typical High $89.13 | Facility | None | $24.55 | $44.67 | $89.13 |
Providence Setting Professional Modifier None Typical Low $17.78 Median $37.15 Typical High $141.25 | Professional | None | $17.78 | $37.15 | $141.25 |
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 $15.85 Median $26.92 Typical High $117.49 | Professional | None | $15.85 | $26.92 | $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 $15.49 Median $40.74 Typical High $95.50 | Facility | 52 · Reduced service | $15.49 | $40.74 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $16.22 Typical High $38.90 | Facility | 53 · Discontinued | $6.17 | $16.22 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $12.59 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.01 | $6.31 | $6.31 |
Where California sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 19th of 51
$37.15
AK $95.50MD $21.38
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.