How much rates vary
Facilitymedian $43 · 10th to 90th $15 to $151Professionalmedian $18 · 10th to 90th $12 to $91
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 $15.49 Median $20.42 Typical High $117.49 | Facility | None | $15.49 | $20.42 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $22.91 | Professional | None | $14.79 | $16.60 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $12.59 | Professional | None | $10.96 | $11.48 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $23.44 Typical High $25.70 | Facility | None | $21.88 | $23.44 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $22.39 Typical High $46.77 | Professional | None | $13.80 | $22.39 | $46.77 |
Blue Shield Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $194.98 | Facility | None | $51.29 | $77.62 | $194.98 |
Blue Shield Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $20.89 | Professional | None | $10.72 | $15.49 | $20.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $20.89 | Professional | None | $14.79 | $18.20 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $46.77 Typical High $151.36 | Facility | None | $14.13 | $46.77 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $29.51 | Professional | None | $16.22 | $19.05 | $29.51 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $21.88 | Professional | None | $14.13 | $16.98 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $40.74 | Professional | None | $11.48 | $14.45 | $40.74 |
Lucent Health Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | None | $91.20 | $102.33 | $102.33 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $61.66 | Facility | None | $15.49 | $23.44 | $61.66 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $30.90 | Professional | None | $16.22 | $18.20 | $30.90 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $29.51 | Professional | None | $11.75 | $16.98 | $29.51 |
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 $7.76 Median $9.12 Typical High $58.88 | Facility | 52 · Reduced service | $7.76 | $9.12 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $3.63 Typical High $23.44 | Facility | 53 · Discontinued | $3.09 | $3.63 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.76 Typical High $9.12 | Professional | 52 · Reduced service | $7.59 | $7.76 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.63 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.63 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 59 · Distinct service | $11.75 | $11.75 | $11.75 |
Where California sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 22nd of 51
$18.20
MN $33.88KY $11.22
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.