How much rates vary
Facilitymedian $240 · 10th to 90th $83 to $4,571Professionalmedian $120 · 10th to 90th $95 to $245
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 $97.72 Median $109.65 Typical High $128.82 | Facility | None | $97.72 | $109.65 | $128.82 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $51.29 Median $54.95 Typical High $58.88 | Facility | 52 · Reduced service | $51.29 | $54.95 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $23.44 | Facility | 53 · Discontinued | $20.42 | $21.88 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $134.90 | Professional | None | $97.72 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $54.95 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $21.88 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $131.83 | Professional | None | $100.00 | $120.23 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $1,071.52 | Facility | None | $204.17 | $257.04 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $208.93 Typical High $331.13 | Professional | None | $87.10 | $208.93 | $331.13 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $1,000.00 Typical High $6,165.95 | Facility | None | $67.61 | $1,000.00 | $6,165.95 |
Blue Shield Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $131.83 | Professional | None | $89.13 | $120.23 | $131.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $162.18 | Professional | None | $100.00 | $123.03 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $134.90 | Professional | None | $95.50 | $120.23 | $134.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $158.49 | Professional | None | $100.00 | $120.23 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $131.83 | Professional | None | $77.62 | $100.00 | $131.83 |
Lucent Health Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,023.29 | Professional | None | $741.31 | $1,023.29 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $173.78 | Professional | None | $104.71 | $173.78 | $173.78 |
Optum Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $131.83 | Professional | None | $120.23 | $125.89 | $131.83 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $204.17 | Facility | None | $102.33 | $151.36 | $204.17 |
Providence Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $131.83 | Professional | None | $95.50 | $120.23 | $131.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $389.05 | Professional | None | $354.81 | $354.81 | $389.05 |
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 $93.33 Median $125.89 Typical High $186.21 | Professional | None | $93.33 | $125.89 | $186.21 |
1 more rate 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 |
|---|---|---|---|---|---|
HealthNet Setting Professional Modifier XU · Unusual separate service Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | XU · Unusual separate service | $616.60 | $616.60 | $616.60 |
Where California sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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
$120
AK $219KY $93.33
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.