How much rates vary
Facilitymedian $115 · 10th to 90th $23 to $490Professionalmedian $62 · 10th to 90th $21 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 $22.39 Median $24.55 Typical High $81.28 | Facility | None | $22.39 | $24.55 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $54.95 Typical High $87.10 | Professional | None | $21.88 | $54.95 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $28.18 Typical High $114.82 | Facility | None | $22.39 | $28.18 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $61.66 Typical High $112.20 | Professional | None | $22.39 | $61.66 | $112.20 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $354.81 Typical High $575.44 | Facility | None | $100.00 | $354.81 | $575.44 |
Blue Shield Setting Professional Modifier None Typical Low $19.95 Median $47.86 Typical High $87.10 | Professional | None | $19.95 | $47.86 | $87.10 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $112.20 | Professional | None | $19.05 | $38.02 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $1,174.90 | Facility | None | $309.03 | $389.05 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $63.10 Typical High $114.82 | Professional | None | $23.44 | $63.10 | $114.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $109.65 | Professional | None | $19.50 | $22.91 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $64.57 Typical High $125.89 | Professional | None | $19.05 | $64.57 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $645.65 | Professional | None | $436.52 | $645.65 | $645.65 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $100.00 | Professional | None | $58.88 | $58.88 | $100.00 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $23.44 Median $69.18 Typical High $147.91 | Facility | None | $23.44 | $69.18 | $147.91 |
Providence Setting Professional Modifier None Typical Low $23.44 Median $61.66 Typical High $114.82 | Professional | None | $23.44 | $61.66 | $114.82 |
Sutter Health Plus Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $229.09 | Professional | None | $74.13 | $74.13 | $229.09 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | None | $354.81 | $354.81 | $549.54 |
United Setting Professional Modifier None Typical Low $18.62 Median $54.95 Typical High $125.89 | Professional | None | $18.62 | $54.95 | $125.89 |
4 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 $10.96 Median $12.30 Typical High $40.74 | Facility | 52 · Reduced service | $10.96 | $12.30 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $4.90 Typical High $16.22 | Facility | 53 · Discontinued | $4.47 | $4.90 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $24.55 Typical High $38.90 | Professional | 52 · Reduced service | $10.96 | $24.55 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $10.00 Typical High $15.49 | Professional | 53 · Discontinued | $4.47 | $10.00 | $15.49 |
Where California sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 29th of 51
$61.66
HI $91.20DC $23.44
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.