How much rates vary
Facilitymedian $71 · 10th to 90th $55 to $195Professionalmedian $59 · 10th to 90th $49 to $191
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 $54.95 Median $57.54 Typical High $66.07 | Facility | None | $54.95 | $57.54 | $66.07 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $27.54 Median $28.84 Typical High $32.36 | Facility | 52 · Reduced service | $27.54 | $28.84 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $12.88 | Facility | 53 · Discontinued | $10.96 | $11.48 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $67.61 | Professional | None | $50.12 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $28.84 Typical High $31.62 | Professional | 52 · Reduced service | $26.92 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $11.48 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $354.81 | Facility | None | $67.61 | $85.11 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $128.82 | Professional | None | $52.48 | $70.79 | $128.82 |
Blue Shield Setting Facility Modifier None Typical Low $51.29 Median $144.54 Typical High $229.09 | Facility | None | $51.29 | $144.54 | $229.09 |
Blue Shield Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $69.18 | Professional | None | $45.71 | $63.10 | $69.18 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $74.13 | Professional | None | $45.71 | $56.23 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $97.72 | Professional | None | $52.48 | $61.66 | $97.72 |
Contra Costa Health Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $72.44 | Professional | None | $50.12 | $54.95 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $60.26 | Professional | None | $35.48 | $45.71 | $60.26 |
Lucent Health Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | None | $371.54 | $467.74 | $467.74 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $70.79 | Professional | None | $54.95 | $66.07 | $70.79 |
Providence Setting Facility Modifier None Typical Low $54.95 Median $79.43 Typical High $107.15 | Facility | None | $54.95 | $79.43 | $107.15 |
Providence Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $89.13 | Professional | None | $50.12 | $60.26 | $89.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | None | $190.55 | $190.55 | $199.53 |
United Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $138.04 | Professional | None | $45.71 | $60.26 | $138.04 |
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 $64.57 Median $67.61 Typical High $70.79 | Facility | AF · Specialist physician | $64.57 | $67.61 | $70.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $48.98 Median $50.12 Typical High $53.70 | Facility | HO · Master's level | $48.98 | $50.12 | $53.70 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $54.95 Median $57.54 Typical High $60.26 | Facility | TD · Registered nurse | $54.95 | $57.54 | $60.26 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $64.57 Median $67.61 Typical High $77.62 | Professional | AF · Specialist physician | $64.57 | $67.61 | $77.62 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $48.98 Median $50.12 Typical High $57.54 | Professional | HO · Master's level | $48.98 | $50.12 | $57.54 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $54.95 Median $57.54 Typical High $66.07 | Professional | TD · Registered nurse | $54.95 | $57.54 | $66.07 |
Where California sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 23rd of 51
$58.88
AK $110AZ $42.66
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.