How much rates vary
Facilitymedian $85 · 10th to 90th $29 to $1,585Professionalmedian $28 · 10th to 90th $23 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 $24.55 Median $85.11 Typical High $181.97 | Facility | None | $24.55 | $85.11 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $24.55 | Professional | None | $19.50 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $24.55 | Professional | None | $17.38 | $22.91 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $36.31 Typical High $151.36 | Facility | None | $28.84 | $36.31 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $34.67 | Professional | None | $28.18 | $28.18 | $34.67 |
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 HN · Bachelor's level Typical Low $16.98 Median $16.98 Typical High $18.62 | Professional | HN · Bachelor's level | $16.98 | $16.98 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $53.70 | Professional | None | $19.05 | $21.88 | $53.70 |
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 $33.11 Median $36.31 Typical High $630.96 | Professional | None | $33.11 | $36.31 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $281.84 | Professional | None | $173.78 | $173.78 | $281.84 |
Optum Setting Professional Modifier None Typical Low $19.50 Median $38.90 Typical High $38.90 | Professional | None | $19.50 | $38.90 | $38.90 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $16.60 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $25.70 Typical High $44.67 | Facility | None | $24.55 | $25.70 | $44.67 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $60.26 | Professional | None | $19.05 | $20.89 | $60.26 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $446.68 | Facility | None | $288.40 | $288.40 | $446.68 |
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 HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $18.20 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier HO · Master's level Typical Low $17.38 Median $17.38 Typical High $26.92 | Professional | HO · Master's level | $17.38 | $17.38 | $26.92 |
United Setting Professional Modifier HO · Master's level Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | HO · Master's level | $19.50 | $19.50 | $21.38 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | HP · Doctoral level | $19.50 | $19.50 | $21.38 |
Where California sits
The same service costs 3.4 times more in Wyoming 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· 17th of 51
$28.18
WY $48.98AL $14.45
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.