How much rates vary
Facilitymedian $76 · 10th to 90th $14 to $1,585Professionalmedian $18 · 10th to 90th $13 to $174
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 $18.20 Median $60.26 Typical High $134.90 | Facility | None | $18.20 | $60.26 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $18.20 | Professional | None | $15.14 | $18.20 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $24.55 Typical High $28.18 | Professional | None | $13.49 | $24.55 | $28.18 |
Ambetter Setting Professional Modifier HM · Below bachelor's level Typical Low $10.96 Median $17.38 Typical High $17.38 | Professional | HM · Below bachelor's level | $10.96 | $17.38 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $66.07 | Facility | None | $12.88 | $16.22 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $15.14 | Professional | None | $12.59 | $12.59 | $15.14 |
Blue Shield Setting Facility Modifier None Typical Low $61.66 Median $870.96 Typical High $1,905.46 | Facility | None | $61.66 | $870.96 | $1,905.46 |
Blue Shield Setting Professional Modifier HM · Below bachelor's level Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | HM · Below bachelor's level | $14.45 | $14.45 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $42.66 | Professional | None | $10.00 | $12.59 | $42.66 |
HealthNet Setting Professional Modifier HN · Bachelor's level Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | HN · Bachelor's level | $12.02 | $12.02 | $12.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $630.96 | Professional | None | $16.98 | $19.95 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | None | $173.78 | $173.78 | $295.12 |
Optum Setting Professional Modifier None Typical Low $16.60 Median $32.36 Typical High $32.36 | Professional | None | $16.60 | $32.36 | $32.36 |
Optum Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $12.59 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $14.13 |
Providence Setting Facility Modifier None Typical Low $18.20 Median $19.05 Typical High $44.67 | Facility | None | $18.20 | $19.05 | $44.67 |
Providence Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $57.54 | Professional | None | $10.00 | $12.02 | $57.54 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $257.04 | Facility | None | $165.96 | $165.96 | $257.04 |
United Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $97.72 | Professional | None | $26.92 | $36.31 | $97.72 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $13.80 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $15.49 |
2 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HO · Master's level | $16.60 | $16.60 | $18.62 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HP · Doctoral level | $16.60 | $16.60 | $18.62 |
Where California sits
The same service costs 4.5 times more in Wyoming than in West Virginia. 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· 15th of 51
$18.20
WY $48.98WV $10.96
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.