How much rates vary
Facilitymedian $282 · 10th to 90th $34 to $741Professionalmedian $55 · 10th to 90th $28 to $347
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 $30.20 Median $33.88 Typical High $66.07 | Facility | None | $30.20 | $33.88 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $52.48 Typical High $165.96 | Professional | None | $30.20 | $52.48 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $29.51 Typical High $32.36 | Facility | None | $27.54 | $29.51 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $131.83 | Professional | None | $28.18 | $50.12 | $131.83 |
Blue Shield Setting Facility Modifier None Typical Low $112.20 Median $467.74 Typical High $812.83 | Facility | None | $112.20 | $467.74 | $812.83 |
Blue Shield Setting Professional Modifier None Typical Low $19.95 Median $46.77 Typical High $93.33 | Professional | None | $19.95 | $46.77 | $93.33 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $33.88 Median $91.20 Typical High $204.17 | Professional | None | $33.88 | $91.20 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $60.26 Typical High $138.04 | Professional | None | $30.90 | $60.26 | $138.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $199.53 | Professional | None | $30.20 | $46.77 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $114.82 Typical High $234.42 | Professional | None | $26.92 | $114.82 | $234.42 |
Lucent Health Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $1,148.15 | Professional | None | $691.83 | $1,148.15 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $112.20 Typical High $186.21 | Professional | None | $33.11 | $112.20 | $186.21 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $60.26 Typical High $154.88 | Facility | None | $30.20 | $60.26 | $154.88 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $61.66 Typical High $138.04 | Professional | None | $30.90 | $61.66 | $138.04 |
Sutter Health Plus Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $257.04 | Professional | None | $109.65 | $109.65 | $257.04 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Facility | None | $616.60 | $616.60 | $933.25 |
United Setting Professional Modifier None Typical Low $26.30 Median $58.88 Typical High $165.96 | Professional | None | $26.30 | $58.88 | $165.96 |
5 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 $15.14 Median $16.98 Typical High $33.11 | Facility | 52 · Reduced service | $15.14 | $16.98 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $13.18 | Facility | 53 · Discontinued | $6.03 | $6.76 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $21.88 Typical High $33.11 | Professional | 52 · Reduced service | $15.14 | $21.88 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $8.71 Typical High $13.18 | Professional | 53 · Discontinued | $6.03 | $8.71 | $13.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $43.65 Median $64.57 Typical High $218.78 | Professional | 50 · Both sides | $43.65 | $64.57 | $218.78 |
Where California sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 48th of 51
$54.95
WA $186MD $44.67
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.