How much rates vary
Facilitymedian $102 · 10th to 90th $65 to $389Professionalmedian $76 · 10th to 90th $55 to $251
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 $58.88 Median $162.18 Typical High $426.58 | Facility | None | $58.88 | $162.18 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $134.90 | Professional | None | $57.54 | $64.57 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $87.10 | Professional | None | $70.79 | $87.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $389.05 | Facility | None | $74.13 | $95.50 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $199.53 | Professional | None | $75.86 | $75.86 | $199.53 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $269.15 | Facility | None | $97.72 | $181.97 | $269.15 |
Blue Shield Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $79.43 | Professional | None | $47.86 | $69.18 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $316.23 Typical High $316.23 | Facility | None | $72.44 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $131.83 | Professional | None | $54.95 | $83.18 | $131.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $144.54 | Professional | None | $70.79 | $120.23 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $190.55 | Professional | None | $81.28 | $107.15 | $190.55 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $812.83 | Professional | None | $630.96 | $630.96 | $812.83 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $141.25 | Professional | None | $70.79 | $70.79 | $141.25 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $199.53 | Facility | None | $58.88 | $87.10 | $199.53 |
Providence Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $131.83 | Professional | None | $54.95 | $83.18 | $131.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $144.54 | Professional | None | $70.79 | $87.10 | $144.54 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $29.51 Median $95.50 Typical High $218.78 | Facility | 52 · Reduced service | $29.51 | $95.50 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | 52 · Reduced service | $29.51 | $29.51 | $37.15 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $83.18 Median $87.10 Typical High $97.72 | Professional | GP · Physical therapy plan | $83.18 | $87.10 | $97.72 |
Where California sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 43rd of 51
$75.86
AK $200FL $60.26
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.