How much rates vary
Facilitymedian $129 · 10th to 90th $51 to $269Professionalmedian $60 · 10th to 90th $45 to $174
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 $51.29 Median $54.95 Typical High $56.23 | Facility | None | $51.29 | $54.95 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $67.61 | Professional | None | $48.98 | $54.95 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $165.96 | Professional | None | $51.29 | $53.70 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $74.13 | Facility | None | $63.10 | $66.07 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $125.89 | Professional | None | $58.88 | $64.57 | $125.89 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $177.83 Typical High $302.00 | Facility | None | $60.26 | $177.83 | $302.00 |
Blue Shield Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $79.43 | Professional | None | $38.90 | $56.23 | $79.43 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $69.18 | Professional | None | $42.66 | $53.70 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $91.20 | Professional | None | $53.70 | $61.66 | $91.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $69.18 | Professional | None | $46.77 | $58.88 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $97.72 | Professional | None | $42.66 | $52.48 | $97.72 |
Lucent Health Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $426.58 | Professional | None | $331.13 | $426.58 | $426.58 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | None | $44.67 | $44.67 | $75.86 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $102.33 | Facility | None | $51.29 | $74.13 | $102.33 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $97.72 | Professional | None | $53.70 | $60.26 | $97.72 |
Sutter Health Plus Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $41.69 Median $54.95 Typical High $107.15 | Professional | None | $41.69 | $54.95 | $107.15 |
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 $25.12 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $25.12 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $10.96 Typical High $11.22 | Facility | 53 · Discontinued | $10.23 | $10.96 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $25.70 Typical High $28.84 | Professional | 52 · Reduced service | $24.55 | $25.70 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.23 Typical High $11.48 | Professional | 53 · Discontinued | $9.77 | $10.23 | $11.48 |
Where California sits
The same service costs 2.7 times more in Alaska 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· 27th of 51
$60.26
AK $126FL $46.77
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.