How much rates vary
Facilitymedian $107 · 10th to 90th $79 to $324Professionalmedian $95 · 10th to 90th $76 to $166
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 $79.43 Median $85.11 Typical High $102.33 | Facility | None | $79.43 | $85.11 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $112.20 | Professional | None | $79.43 | $89.13 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $141.25 | Professional | None | $66.07 | $87.10 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $478.63 | Facility | None | $91.20 | $114.82 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $186.21 | Professional | None | $77.62 | $97.72 | $186.21 |
Blue Shield Setting Facility Modifier None Typical Low $64.57 Median $194.98 Typical High $380.19 | Facility | None | $64.57 | $194.98 | $380.19 |
Blue Shield Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $107.15 | Professional | None | $74.13 | $107.15 | $107.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $123.03 | Professional | None | $72.44 | $89.13 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $1,174.90 | Facility | None | $309.03 | $389.05 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $117.49 | Professional | None | $72.44 | $97.72 | $117.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $123.03 | Professional | None | $56.23 | $89.13 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $100.00 | Professional | None | $56.23 | $75.86 | $100.00 |
Lucent Health Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $776.25 | Professional | None | $588.84 | $776.25 | $776.25 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $144.54 | Professional | None | $79.43 | $131.83 | $144.54 |
Optum Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $107.15 | Professional | None | $93.33 | $97.72 | $107.15 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $120.23 Typical High $204.17 | Facility | None | $79.43 | $120.23 | $204.17 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $117.49 | Professional | None | $72.44 | $97.72 | $117.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | None | $275.42 | $275.42 | $316.23 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | None | $354.81 | $354.81 | $549.54 |
United Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $144.54 | Professional | None | $74.13 | $97.72 | $144.54 |
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 $102.33 Median $107.15 Typical High $112.20 | Facility | AF · Specialist physician | $102.33 | $107.15 | $112.20 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $79.43 Median $79.43 Typical High $85.11 | Facility | HO · Master's level | $79.43 | $79.43 | $85.11 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $79.43 Median $91.20 Typical High $95.50 | Facility | TD · Registered nurse | $79.43 | $91.20 | $95.50 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $102.33 Median $107.15 Typical High $117.49 | Professional | AF · Specialist physician | $102.33 | $107.15 | $117.49 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | HO · Master's level | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $79.43 Median $91.20 Typical High $100.00 | Professional | TD · Registered nurse | $79.43 | $91.20 | $100.00 |
Where California sits
The same service costs 2.2 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· 24th of 51
$95.50
AK $158AZ $70.79
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.