How much rates vary
Facilitymedian $151 · 10th to 90th $43 to $331Professionalmedian $52 · 10th to 90th $36 to $145
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 $37.15 Median $41.69 Typical High $63.10 | Facility | None | $37.15 | $41.69 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $81.28 | Professional | None | $37.15 | $53.70 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | None | $46.77 | $46.77 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $42.66 | Facility | None | $36.31 | $38.90 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $100.00 | Professional | None | $36.31 | $52.48 | $100.00 |
Blue Shield Setting Facility Modifier None Typical Low $75.86 Median $234.42 Typical High $371.54 | Facility | None | $75.86 | $234.42 | $371.54 |
Blue Shield Setting Professional Modifier None Typical Low $27.54 Median $41.69 Typical High $72.44 | Professional | None | $27.54 | $41.69 | $72.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $85.11 | Professional | None | $34.67 | $54.95 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $363.08 | Facility | None | $117.49 | $138.04 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $87.10 | Professional | None | $39.81 | $57.54 | $87.10 |
Contra Costa Health Setting Professional Modifier None Typical Low $33.88 Median $60.26 Typical High $66.07 | Professional | None | $33.88 | $60.26 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $85.11 | Professional | None | $33.88 | $52.48 | $85.11 |
Lucent Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $478.63 | Professional | None | $426.58 | $426.58 | $478.63 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | None | $40.74 | $40.74 | $69.18 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $61.66 Typical High $117.49 | Facility | None | $38.02 | $61.66 | $117.49 |
Providence Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $89.13 | Professional | None | $39.81 | $57.54 | $89.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None | $131.83 | $131.83 | $165.96 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $239.88 | Facility | None | $154.88 | $154.88 | $239.88 |
United Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $95.50 | Professional | None | $33.11 | $48.98 | $95.50 |
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 $18.62 Median $20.89 Typical High $31.62 | Facility | 52 · Reduced service | $18.62 | $20.89 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $8.32 Typical High $12.59 | Facility | 53 · Discontinued | $7.41 | $8.32 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $22.39 Typical High $30.90 | Professional | 52 · Reduced service | $18.62 | $22.39 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.91 Typical High $12.30 | Professional | 53 · Discontinued | $7.41 | $8.91 | $12.30 |
Where California sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 29th of 51
$53.70
AK $105MD $37.15
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.