How much rates vary
Facilitymedian $59 · 10th to 90th $34 to $182Professionalmedian $40 · 10th to 90th $33 to $234
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 $36.31 Median $39.81 Typical High $39.81 | Facility | None | $36.31 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $57.54 | Professional | None | $34.67 | $39.81 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $169.82 | Facility | None | $33.11 | $41.69 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $87.10 | Professional | None | $33.11 | $34.67 | $87.10 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $134.90 Typical High $213.80 | Facility | None | $48.98 | $134.90 | $213.80 |
Blue Shield Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $72.44 | Professional | None | $28.84 | $41.69 | $72.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $46.77 | Professional | None | $33.88 | $38.02 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $70.79 | Professional | None | $38.02 | $42.66 | $70.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $45.71 | Professional | None | $33.88 | $40.74 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $75.86 | Professional | None | $30.20 | $38.02 | $75.86 |
Lucent Health Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $302.00 | Professional | None | $234.42 | $302.00 | $302.00 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $52.48 | Professional | None | $30.90 | $33.11 | $52.48 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $52.48 Typical High $75.86 | Facility | None | $36.31 | $52.48 | $75.86 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $72.44 | Professional | None | $38.02 | $42.66 | $72.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $72.44 | Professional | None | $29.51 | $38.90 | $72.44 |
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 $18.20 Median $19.95 Typical High $19.95 | Facility | 52 · Reduced service | $18.20 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $7.94 Typical High $7.94 | Facility | 53 · Discontinued | $7.24 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $17.38 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $7.94 | Professional | 53 · Discontinued | $6.92 | $7.24 | $7.94 |
Where California sits
The same service costs 2.7 times more in Alaska than in New York. 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· 42nd of 51
$39.81
AK $95.50NY $35.48
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.