How much rates vary
Facilitymedian $204 · 10th to 90th $87 to $4,169Professionalmedian $132 · 10th to 90th $100 to $269
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 $100.00 Median $123.03 Typical High $144.54 | Facility | None | $100.00 | $123.03 | $144.54 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $50.12 Median $61.66 Typical High $70.79 | Facility | 52 · Reduced service | $50.12 | $61.66 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $24.55 Typical High $28.18 | Facility | 53 · Discontinued | $19.95 | $24.55 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $151.36 | Professional | None | $100.00 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $50.12 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $19.95 | $23.99 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | None | $112.20 | $112.20 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $251.19 Typical High $1,047.13 | Facility | None | $199.53 | $251.19 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $218.78 Typical High $389.05 | Professional | None | $107.15 | $218.78 | $389.05 |
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 $100.00 Median $138.04 Typical High $151.36 | Professional | None | $100.00 | $138.04 | $151.36 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $158.49 | Professional | None | $100.00 | $123.03 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $151.36 | Professional | None | $104.71 | $134.90 | $151.36 |
Contra Costa Health Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $158.49 | Professional | None | $109.65 | $120.23 | $158.49 |
HealthNet Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $131.83 | Professional | None | $77.62 | $97.72 | $131.83 |
Lucent Health Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,000.00 | Professional | None | $812.83 | $1,000.00 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $186.21 | Professional | None | $109.65 | $186.21 | $186.21 |
Optum Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $154.88 | Professional | None | $128.82 | $138.04 | $154.88 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $223.87 | Facility | None | $100.00 | $147.91 | $223.87 |
Providence Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $147.91 | Professional | None | $100.00 | $134.90 | $147.91 |
Sutter Health Plus Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $436.52 | Professional | None | $346.74 | $346.74 | $436.52 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Facility | None | $616.60 | $616.60 | $933.25 |
United Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $204.17 | Professional | None | $100.00 | $138.04 | $204.17 |
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 $141.25 Median $147.91 Typical High $154.88 | Facility | AF · Specialist physician | $141.25 | $147.91 | $154.88 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $104.71 Median $109.65 Typical High $117.49 | Facility | HO · Master's level | $104.71 | $109.65 | $117.49 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $120.23 Median $125.89 Typical High $131.83 | Facility | TD · Registered nurse | $120.23 | $125.89 | $131.83 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $141.25 Median $147.91 Typical High $162.18 | Professional | AF · Specialist physician | $141.25 | $147.91 | $162.18 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $104.71 Median $109.65 Typical High $123.03 | Professional | HO · Master's level | $104.71 | $109.65 | $123.03 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $120.23 Median $125.89 Typical High $138.04 | Professional | TD · Registered nurse | $120.23 | $125.89 | $138.04 |
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· 21st of 51
$132
AK $224KY $95.50
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.