How much rates vary
Facilitymedian $501 · 10th to 90th $95 to $1,047Professionalmedian $112 · 10th to 90th $79 to $309
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 $93.33 Median $109.65 Typical High $707.95 | Facility | None | $93.33 | $109.65 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $154.88 | Professional | None | $85.11 | $102.33 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | None | $74.13 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $120.23 Typical High $131.83 | Facility | None | $112.20 | $120.23 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $275.42 | Professional | None | $79.43 | $114.82 | $275.42 |
Blue Shield Setting Facility Modifier None Typical Low $141.25 Median $645.65 Typical High $1,000.00 | Facility | None | $141.25 | $645.65 | $1,000.00 |
Blue Shield Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $154.88 | Professional | None | $81.28 | $114.82 | $154.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $257.04 | Professional | None | $87.10 | $107.15 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $20,417.38 Typical High $23,988.33 | Facility | None | $81.28 | $20,417.38 | $23,988.33 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $173.78 | Professional | None | $79.43 | $104.71 | $173.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $128.82 | Professional | None | $95.50 | $104.71 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $199.53 | Professional | None | $70.79 | $85.11 | $199.53 |
Lucent Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $19,952.62 | Facility | None | $93.33 | $144.54 | $19,952.62 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $104.71 Typical High $173.78 | Professional | None | $77.62 | $104.71 | $173.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $147.91 | Professional | None | $56.23 | $97.72 | $147.91 |
7 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 $46.77 Median $54.95 Typical High $354.81 | Facility | 52 · Reduced service | $46.77 | $54.95 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $141.25 | Facility | 53 · Discontinued | $18.62 | $21.88 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $40.74 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.62 Typical High $21.88 | Professional | 53 · Discontinued | $16.22 | $18.62 | $21.88 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 51 · Multiple procedures | $74.13 | $74.13 | $74.13 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 59 · Distinct service | $66.07 | $70.79 | $70.79 |
Where California sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 17th of 51
$112
MN $166FL $61.66
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.