How much rates vary
Facilitymedian $56 · 10th to 90th $26 to $105Professionalmedian $30 · 10th to 90th $22 to $87
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 $25.70 Median $28.84 Typical High $204.17 | Facility | None | $25.70 | $28.84 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $39.81 | Professional | None | $20.42 | $28.18 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $30.90 Typical High $33.88 | Facility | None | $28.84 | $30.90 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $79.43 | Professional | None | $23.44 | $29.51 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $26.92 Median $64.57 Typical High $100.00 | Facility | None | $26.92 | $64.57 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $47.86 | Professional | None | $25.70 | $37.15 | $47.86 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $64.57 | Professional | None | $19.05 | $22.91 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $45.71 | Professional | None | $23.99 | $28.18 | $45.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $30.20 | Professional | None | $20.42 | $22.91 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $19.05 Typical High $57.54 | Professional | None | $16.60 | $19.05 | $57.54 |
Lucent Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
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 $24.55 Median $38.90 Typical High $79.43 | Facility | None | $24.55 | $38.90 | $79.43 |
Providence Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $46.77 | Professional | None | $23.99 | $28.18 | $46.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $48.98 | Professional | None | $18.62 | $26.92 | $48.98 |
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 $12.88 Median $14.45 Typical High $102.33 | Facility | 52 · Reduced service | $12.88 | $14.45 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $5.75 Typical High $40.74 | Facility | 53 · Discontinued | $5.13 | $5.75 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $12.88 Typical High $14.45 | Professional | 52 · Reduced service | $11.22 | $12.88 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.13 Typical High $5.75 | Professional | 53 · Discontinued | $4.57 | $5.13 | $5.75 |
Where California sits
The same service costs 2.6 times more in Minnesota than in Pennsylvania. 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· 24th of 51
$29.51
MN $47.86PA $18.62
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.