How much rates vary
Facilitymedian $813 · 10th to 90th $107 to $1,698Professionalmedian $120 · 10th to 90th $83 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 $107.15 Median $128.82 Typical High $812.83 | Facility | None | $107.15 | $128.82 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $169.82 | Professional | None | $87.10 | $114.82 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $74.13 | Professional | None | $60.26 | $64.57 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $117.49 Typical High $128.82 | Facility | None | $109.65 | $117.49 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $338.84 | Professional | None | $89.13 | $112.20 | $338.84 |
Blue Shield Setting Facility Modifier None Typical Low $257.04 Median $1,174.90 Typical High $1,819.70 | Facility | None | $257.04 | $1,174.90 | $1,819.70 |
Blue Shield Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $165.96 | Professional | None | $85.11 | $123.03 | $165.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $288.40 | Professional | None | $87.10 | $107.15 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $223.87 | Professional | None | $93.33 | $134.90 | $223.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $131.83 | Professional | None | $93.33 | $104.71 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $234.42 | Professional | None | $69.18 | $85.11 | $234.42 |
Lucent Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
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 $104.71 Median $162.18 Typical High $288.40 | Facility | None | $104.71 | $162.18 | $288.40 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $218.78 | Professional | None | $93.33 | $141.25 | $218.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $67.61 Median $104.71 Typical High $190.55 | Professional | None | $67.61 | $104.71 | $190.55 |
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 $53.70 Median $63.10 Typical High $407.38 | Facility | 52 · Reduced service | $53.70 | $63.10 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $25.70 Typical High $162.18 | Facility | 53 · Discontinued | $21.38 | $25.70 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $53.70 Typical High $63.10 | Professional | 52 · Reduced service | $43.65 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $17.38 | $21.38 | $25.70 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 59 · Distinct service | $69.18 | $69.18 | $81.28 |
Where California sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 18th of 51
$120
MN $174UT $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.