How much rates vary
Facilitymedian $158 · 10th to 90th $120 to $427Professionalmedian $129 · 10th to 90th $105 to $417
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 $120.23 Median $128.82 Typical High $147.91 | Facility | None | $120.23 | $128.82 | $147.91 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $60.26 Median $64.57 Typical High $72.44 | Facility | 52 · Reduced service | $60.26 | $64.57 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $28.84 | Facility | 53 · Discontinued | $23.99 | $25.70 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $128.82 Typical High $158.49 | Professional | None | $112.20 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $58.88 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $28.84 | Professional | 53 · Discontinued | $23.44 | $25.70 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | None | $112.20 | $114.82 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $776.25 | Facility | None | $147.91 | $186.21 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $288.40 | Professional | None | $114.82 | $158.49 | $288.40 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $316.23 Typical High $489.78 | Facility | None | $97.72 | $316.23 | $489.78 |
Blue Shield Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $158.49 | Professional | None | $104.71 | $141.25 | $158.49 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $162.18 | Professional | None | $109.65 | $131.83 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $213.80 | Professional | None | $112.20 | $138.04 | $213.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $158.49 | Professional | None | $117.49 | $131.83 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $134.90 | Professional | None | $83.18 | $104.71 | $134.90 |
Lucent Health Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,047.13 | Professional | None | $794.33 | $1,047.13 | $1,047.13 |
Optum Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $239.88 | Facility | None | $120.23 | $173.78 | $239.88 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $199.53 | Professional | None | $107.15 | $134.90 | $199.53 |
Sutter Health Plus Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Professional | None | $416.87 | $416.87 | $446.68 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
United Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $223.87 | Professional | None | $102.33 | $109.65 | $223.87 |
6 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 AF · Specialist physician Typical Low $144.54 Median $151.36 Typical High $158.49 | Facility | AF · Specialist physician | $144.54 | $151.36 | $158.49 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $109.65 Median $112.20 Typical High $120.23 | Facility | HO · Master's level | $109.65 | $112.20 | $120.23 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $123.03 Median $128.82 Typical High $134.90 | Facility | TD · Registered nurse | $123.03 | $128.82 | $134.90 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $144.54 Median $151.36 Typical High $173.78 | Professional | AF · Specialist physician | $144.54 | $151.36 | $173.78 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | HO · Master's level | $109.65 | $112.20 | $128.82 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $123.03 Median $128.82 Typical High $147.91 | Professional | TD · Registered nurse | $123.03 | $128.82 | $147.91 |
Where California sits
The same service costs 2.4 times more in Alaska than in Ohio. 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
$129
AK $245OH $102
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.