How much rates vary
Facilitymedian $81 · 10th to 90th $35 to $355Professionalmedian $41 · 10th to 90th $18 to $398
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 $37.15 Median $97.72 Typical High $234.42 | Facility | None | $37.15 | $97.72 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $52.48 | Professional | None | $33.88 | $38.02 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $169.82 | Facility | None | $42.66 | $63.10 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $40.74 Typical High $151.36 | Professional | None | $18.20 | $40.74 | $151.36 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $257.04 Typical High $489.78 | Facility | None | $66.07 | $257.04 | $489.78 |
Blue Shield Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $91.20 | Professional | None | $19.95 | $28.18 | $91.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $58.88 | Professional | None | $27.54 | $31.62 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $63.10 Typical High $117.49 | Facility | None | $27.54 | $63.10 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $38.02 Typical High $181.97 | Professional | None | $20.89 | $38.02 | $181.97 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $46.77 | Professional | None | $28.84 | $38.02 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $39.81 Typical High $93.33 | Professional | None | $31.62 | $39.81 | $93.33 |
Lucent Health Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $398.11 | Professional | None | $263.03 | $398.11 | $398.11 |
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 $32.36 Median $54.95 Typical High $109.65 | Facility | None | $32.36 | $54.95 | $109.65 |
Providence Setting Professional Modifier None Typical Low $20.89 Median $41.69 Typical High $181.97 | Professional | None | $20.89 | $41.69 | $181.97 |
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 $14.45 Median $14.45 Typical High $34.67 | Facility | None | $14.45 | $14.45 | $34.67 |
United Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $138.04 | Professional | None | $20.89 | $34.67 | $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 $18.62 Median $48.98 Typical High $117.49 | Facility | 52 · Reduced service | $18.62 | $48.98 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $19.50 Typical High $46.77 | Facility | 53 · Discontinued | $7.59 | $19.50 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $15.14 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.17 | $7.76 | $7.76 |
Where California sits
The same service costs 4.6 times more in Kentucky than in New Jersey. 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
$48.98
KY $112NJ $24.55
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.