How much rates vary
Facilitymedian $166 · 10th to 90th $123 to $437Professionalmedian $141 · 10th to 90th $105 to $288
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 $123.03 Median $141.25 Typical High $199.53 | Facility | None | $123.03 | $141.25 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $165.96 | Professional | None | $123.03 | $141.25 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $169.82 | Professional | None | $89.13 | $120.23 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $169.82 Typical High $691.83 | Facility | None | $134.90 | $169.82 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $218.78 | Professional | None | $87.10 | $131.83 | $218.78 |
Blue Shield Setting Facility Modifier None Typical Low $109.65 Median $263.03 Typical High $457.09 | Facility | None | $109.65 | $263.03 | $457.09 |
Blue Shield Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $213.80 | Professional | None | $83.18 | $114.82 | $213.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $208.93 | Professional | None | $131.83 | $162.18 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $251.19 | Professional | None | $107.15 | $223.87 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $158.49 Typical High $204.17 | Professional | None | $38.02 | $158.49 | $204.17 |
HealthNet Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $173.78 | Professional | None | $102.33 | $128.82 | $173.78 |
Lucent Health Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,318.26 | Professional | None | $933.25 | $1,318.26 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $213.80 Typical High $281.84 | Professional | None | $33.11 | $213.80 | $281.84 |
Optum Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $147.91 | Professional | None | $107.15 | $117.49 | $147.91 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $234.42 | Facility | None | $104.71 | $165.96 | $234.42 |
Providence Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $251.19 | Professional | None | $104.71 | $173.78 | $251.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $467.74 | Professional | None | $426.58 | $426.58 | $467.74 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $446.68 | Facility | None | $288.40 | $288.40 | $446.68 |
United Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $169.82 | Professional | None | $107.15 | $117.49 | $169.82 |
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 $165.96 Median $165.96 Typical High $173.78 | Facility | AF · Specialist physician | $165.96 | $165.96 | $173.78 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $123.03 Median $123.03 Typical High $128.82 | Facility | HO · Master's level | $123.03 | $123.03 | $128.82 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $123.03 Median $141.25 Typical High $141.25 | Facility | TD · Registered nurse | $123.03 | $141.25 | $141.25 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | AF · Specialist physician | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | HO · Master's level | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $123.03 Median $141.25 Typical High $154.88 | Professional | TD · Registered nurse | $123.03 | $141.25 | $154.88 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 93 · Audio-only telehealth | $169.82 | $169.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $128.82 Median $138.04 Typical High $177.83 | Professional | HO · Master's level | $128.82 | $138.04 | $177.83 |
Where California sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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
$141
ND $186OH $107
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.