How much rates vary
Facilitymedian $54 · 10th to 90th $26 to $3,890Professionalmedian $47 · 10th to 90th $23 to $79
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 $22.91 Median $43.65 Typical High $53.70 | Facility | None | $22.91 | $43.65 | $53.70 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $11.48 Median $19.05 Typical High $25.70 | Facility | 52 · Reduced service | $11.48 | $19.05 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $7.59 Typical High $10.47 | Facility | 53 · Discontinued | $4.57 | $7.59 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $44.67 Typical High $53.70 | Professional | None | $22.91 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $16.98 Typical High $25.70 | Professional | 52 · Reduced service | $11.48 | $16.98 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.76 Typical High $10.23 | Professional | 53 · Discontinued | $4.57 | $6.76 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $48.98 Typical High $51.29 | Professional | None | $36.31 | $48.98 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $239.88 | Facility | None | $45.71 | $58.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $123.03 | Professional | None | $33.11 | $47.86 | $123.03 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $1,000.00 Typical High $6,165.95 | Facility | None | $48.98 | $1,000.00 | $6,165.95 |
Blue Shield Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $58.88 | Professional | None | $37.15 | $50.12 | $58.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $21.88 Median $44.67 Typical High $61.66 | Professional | None | $21.88 | $44.67 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $52.48 | Professional | None | $33.88 | $47.86 | $52.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $60.26 | Professional | None | $23.44 | $41.69 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $34.67 Typical High $50.12 | Professional | None | $16.60 | $34.67 | $50.12 |
Lucent Health Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $371.54 | Professional | None | $275.42 | $371.54 | $371.54 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $58.88 Typical High $58.88 | Professional | None | $35.48 | $58.88 | $58.88 |
Optum Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $53.70 | Professional | None | $42.66 | $44.67 | $53.70 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $46.77 Typical High $81.28 | Facility | None | $22.91 | $46.77 | $81.28 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $52.48 | Professional | None | $33.88 | $47.86 | $52.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $154.88 | Professional | None | $79.43 | $79.43 | $154.88 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $338.84 | Facility | None | $218.78 | $218.78 | $338.84 |
United Setting Professional Modifier None Typical Low $23.99 Median $44.67 Typical High $70.79 | Professional | None | $23.99 | $44.67 | $70.79 |
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 $51.29 Median $53.70 Typical High $57.54 | Facility | AF · Specialist physician | $51.29 | $53.70 | $57.54 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $38.90 Median $39.81 Typical High $43.65 | Facility | HO · Master's level | $38.90 | $39.81 | $43.65 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $43.65 Median $45.71 Typical High $48.98 | Facility | TD · Registered nurse | $43.65 | $45.71 | $48.98 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $51.29 Median $53.70 Typical High $60.26 | Professional | AF · Specialist physician | $51.29 | $53.70 | $60.26 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $38.90 Median $39.81 Typical High $45.71 | Professional | HO · Master's level | $38.90 | $39.81 | $45.71 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $43.65 Median $45.71 Typical High $51.29 | Professional | TD · Registered nurse | $43.65 | $45.71 | $51.29 |
Where California sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 10th of 51
$46.77
HI $63.10DC $26.92
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.