How much rates vary
Facilitymedian $145 · 10th to 90th $78 to $324Professionalmedian $105 · 10th to 90th $76 to $214
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 $77.62 Median $97.72 Typical High $128.82 | Facility | None | $77.62 | $97.72 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $134.90 | Professional | None | $89.13 | $109.65 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $131.83 | Professional | None | $60.26 | $85.11 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $616.60 | Facility | None | $117.49 | $151.36 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $177.83 | Professional | None | $81.28 | $120.23 | $177.83 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $181.97 Typical High $316.23 | Facility | None | $60.26 | $181.97 | $316.23 |
Blue Shield Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $165.96 | Professional | None | $77.62 | $102.33 | $165.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $138.04 | Professional | None | $100.00 | $128.82 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $120.23 | Facility | None | $50.12 | $50.12 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $128.82 | Professional | None | $64.57 | $83.18 | $128.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $134.90 | Professional | None | $89.13 | $123.03 | $134.90 |
HealthNet Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $181.97 | Professional | None | $64.57 | $93.33 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $131.83 | Professional | None | $81.28 | $91.20 | $131.83 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $891.25 | Professional | None | $660.69 | $891.25 | $891.25 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $173.78 | Professional | None | $138.04 | $151.36 | $173.78 |
Optum Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $123.03 | Professional | None | $91.20 | $95.50 | $123.03 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $131.83 Typical High $186.21 | Facility | None | $67.61 | $131.83 | $186.21 |
Providence Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $128.82 | Professional | None | $64.57 | $79.43 | $128.82 |
Sutter Health Plus Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
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 $91.20 Median $100.00 Typical High $134.90 | Professional | None | $91.20 | $100.00 | $134.90 |
9 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 $128.82 Median $128.82 Typical High $138.04 | Facility | AF · Specialist physician | $128.82 | $128.82 | $138.04 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $97.72 Median $97.72 Typical High $100.00 | Facility | HO · Master's level | $97.72 | $97.72 | $100.00 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $77.62 Median $109.65 Typical High $109.65 | Facility | TD · Registered nurse | $77.62 | $109.65 | $109.65 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $117.49 Median $128.82 Typical High $147.91 | Professional | AF · Specialist physician | $117.49 | $128.82 | $147.91 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | HO · Master's level | $97.72 | $97.72 | $112.20 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $77.62 Median $109.65 Typical High $123.03 | Professional | TD · Registered nurse | $77.62 | $109.65 | $123.03 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | HO · Master's level | $79.43 | $79.43 | $79.43 |
Ambetter Setting Professional Modifier U5 · State-defined Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | U5 · State-defined | $97.72 | $97.72 | $97.72 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $91.20 Median $104.71 Typical High $131.83 | Professional | HO · Master's level | $91.20 | $104.71 | $131.83 |
Where California sits
The same service costs 1.7 times more in Alaska 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· 11th of 51
$105
AK $132OH $75.86
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.