How much rates vary
Facilitymedian $6 · 10th to 90th $3 to $18Professionalmedian $12 · 10th to 90th $3 to $26
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 $12.30 Median $14.13 Typical High $17.38 | Facility | None | $12.30 | $14.13 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $17.38 | Professional | None | $11.75 | $14.13 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $13.80 Typical High $47.86 | Professional | None | $10.23 | $13.80 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $3.89 Typical High $15.85 | Facility | None | $3.09 | $3.89 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.09 Median $10.00 Typical High $15.49 | Professional | None | $3.09 | $10.00 | $15.49 |
Blue Shield Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $5.13 | Professional | None | $3.39 | $4.79 | $5.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $19.50 | Professional | None | $10.47 | $14.45 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $15.85 | Professional | None | $3.02 | $4.57 | $15.85 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.89 Median $14.45 Typical High $19.05 | Professional | None | $3.89 | $14.45 | $19.05 |
HealthNet Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $263.03 | Professional | None | $123.03 | $162.18 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $15.85 | Professional | None | $9.12 | $11.75 | $15.85 |
Lucent Health Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | None | $91.20 | $120.23 | $120.23 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $28.18 | Professional | None | $21.38 | $23.44 | $28.18 |
Optum Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $15.49 | Professional | None | $11.22 | $11.75 | $15.49 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $24.55 | Facility | None | $10.96 | $16.60 | $24.55 |
Providence Setting Professional Modifier None Typical Low $3.02 Median $10.00 Typical High $15.85 | Professional | None | $3.02 | $10.00 | $15.85 |
Sutter Health Plus Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | None | $44.67 | $44.67 | $48.98 |
United Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $16.22 | Professional | None | $11.22 | $12.30 | $16.22 |
8 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 AF · Specialist physician Typical Low $15.85 Median $16.60 Typical High $17.38 | Facility | AF · Specialist physician | $15.85 | $16.60 | $17.38 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $12.02 Median $12.30 Typical High $12.88 | Facility | HO · Master's level | $12.02 | $12.30 | $12.88 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $3.24 Median $14.13 Typical High $14.79 | Facility | TD · Registered nurse | $3.24 | $14.13 | $14.79 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $15.85 Median $16.60 Typical High $18.20 | Professional | AF · Specialist physician | $15.85 | $16.60 | $18.20 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $12.02 Median $12.30 Typical High $13.80 | Professional | HO · Master's level | $12.02 | $12.30 | $13.80 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $3.24 Median $14.13 Typical High $15.49 | Professional | TD · Registered nurse | $3.24 | $14.13 | $15.49 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 59 · Distinct service | $15.85 | $15.85 | $15.85 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | HO · Master's level | $13.49 | $13.49 | $16.22 |
Where California sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 27th of 51
$12.30
AK $18.20GA $10.00
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.