How much rates vary
Facilitymedian $112 · 10th to 90th $49 to $447Professionalmedian $56 · 10th to 90th $23 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 $46.77 Median $123.03 Typical High $295.12 | Facility | None | $46.77 | $123.03 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $77.62 | Professional | None | $42.66 | $47.86 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $91.20 Typical High $251.19 | Facility | None | $63.10 | $91.20 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $51.29 Typical High $218.78 | Professional | None | $22.91 | $51.29 | $218.78 |
Blue Shield Setting Facility Modifier None Typical Low $79.43 Median $323.59 Typical High $602.56 | Facility | None | $79.43 | $323.59 | $602.56 |
Blue Shield Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $114.82 | Professional | None | $25.12 | $35.48 | $114.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $87.10 | Professional | None | $40.74 | $45.71 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $91.20 Typical High $169.82 | Facility | None | $38.90 | $91.20 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $56.23 Typical High $251.19 | Professional | None | $29.51 | $56.23 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $31.62 Median $56.23 Typical High $69.18 | Professional | None | $31.62 | $56.23 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $138.04 | Professional | None | $45.71 | $58.88 | $138.04 |
Lucent Health Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | None | $380.19 | $398.11 | $398.11 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $72.44 Typical High $154.88 | Facility | None | $47.86 | $72.44 | $154.88 |
Providence Setting Professional Modifier None Typical Low $29.51 Median $61.66 Typical High $251.19 | Professional | None | $29.51 | $61.66 | $251.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $51.29 | Facility | None | $21.38 | $21.38 | $51.29 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $204.17 | Professional | None | $30.90 | $51.29 | $204.17 |
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 $23.44 Median $61.66 Typical High $147.91 | Facility | 52 · Reduced service | $23.44 | $61.66 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $24.55 Typical High $58.88 | Facility | 53 · Discontinued | $9.33 | $24.55 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $21.38 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.51 | $9.55 | $9.55 |
Where California sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 17th of 51
$67.61
SC $155CT $33.88
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.