How much rates vary
Facilitymedian $132 · 10th to 90th $79 to $251Professionalmedian $102 · 10th to 90th $71 to $295
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 $89.13 Median $102.33 Typical High $125.89 | Facility | None | $89.13 | $102.33 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $120.23 | Professional | None | $81.28 | $102.33 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $588.84 | Facility | None | $114.82 | $144.54 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $223.87 | Professional | None | $83.18 | $123.03 | $223.87 |
Blue Shield Setting Facility Modifier None Typical Low $52.48 Median $144.54 Typical High $245.47 | Facility | None | $52.48 | $144.54 | $245.47 |
Blue Shield Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $114.82 | Professional | None | $81.28 | $112.20 | $114.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $138.04 | Professional | None | $77.62 | $97.72 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $134.90 | Professional | None | $53.70 | $83.18 | $134.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $134.90 | Professional | None | $52.48 | $97.72 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $112.20 | Professional | None | $63.10 | $83.18 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $851.14 | Professional | None | $660.69 | $851.14 | $851.14 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $162.18 | Professional | None | $54.95 | $70.79 | $162.18 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $181.97 | Facility | None | $79.43 | $128.82 | $181.97 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $125.89 | Professional | None | $53.70 | $81.28 | $125.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | None | $295.12 | $295.12 | $354.81 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $257.04 | Facility | None | $165.96 | $165.96 | $257.04 |
United Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $223.87 | Professional | None | $72.44 | $102.33 | $223.87 |
6 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 $114.82 Median $120.23 Typical High $125.89 | Facility | AF · Specialist physician | $114.82 | $120.23 | $125.89 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $85.11 Median $89.13 Typical High $93.33 | Facility | HO · Master's level | $85.11 | $89.13 | $93.33 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $66.07 Median $102.33 Typical High $107.15 | Facility | TD · Registered nurse | $66.07 | $102.33 | $107.15 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $114.82 Median $120.23 Typical High $131.83 | Professional | AF · Specialist physician | $114.82 | $120.23 | $131.83 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $85.11 Median $89.13 Typical High $97.72 | Professional | HO · Master's level | $85.11 | $89.13 | $97.72 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $66.07 Median $102.33 Typical High $112.20 | Professional | TD · Registered nurse | $66.07 | $102.33 | $112.20 |
Where California sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 14th of 51
$102
HI $170AZ $74.13
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.