How much rates vary
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 $63.10 Typical High $134.90 | Facility | None | $18.20 | $63.10 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $18.20 | Professional | None | $14.13 | $18.20 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $12.88 Typical High $52.48 | Facility | None | $10.23 | $12.88 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.30 | Professional | None | $10.00 | $10.00 | $12.30 |
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 $10.96 Median $10.96 Typical High $12.02 | Professional | HM · Below bachelor's level | $10.96 | $10.96 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $17.78 | Professional | None | $9.77 | $10.96 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $19.95 Typical High $630.96 | Professional | None | $12.88 | $19.95 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Optum Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $17.38 | Professional | None | $12.30 | $17.38 | $17.38 |
Optum Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $9.33 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $10.47 |
Providence Setting Facility Modifier None Typical Low $6.17 Median $18.20 Typical High $26.30 | Facility | None | $6.17 | $18.20 | $26.30 |
Providence Setting Professional Modifier None Typical Low $8.91 Median $10.23 Typical High $19.50 | Professional | None | $8.91 | $10.23 | $19.50 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $95.50 | Facility | None | $61.66 | $61.66 | $95.50 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $14.45 | Professional | None | $3.80 | $5.13 | $14.45 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $10.23 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $11.48 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $11.48 |
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 $12.30 Median $12.30 Typical High $13.80 | Professional | HO · Master's level | $12.30 | $12.30 | $13.80 |
United Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | HP · Doctoral level | $12.30 | $12.30 | $13.80 |
Where California sits
The same service costs 11.0 times more in Washington, DC than in Alabama. 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· 7th of 51
$15.14
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.