How much rates vary
Facilitymedian $93 · 10th to 90th $55 to $316Professionalmedian $56 · 10th to 90th $39 to $162
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 $47.86 Median $70.79 Typical High $269.15 | Facility | None | $47.86 | $70.79 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $85.11 | Professional | None | $47.86 | $53.70 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
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 $151.36 | Professional | None | $75.86 | $75.86 | $151.36 |
Blue Shield Setting Facility Modifier None Typical Low $40.74 Median $131.83 Typical High $165.96 | Facility | None | $40.74 | $131.83 | $165.96 |
Blue Shield Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $61.66 | Professional | None | $36.31 | $51.29 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $316.23 Typical High $316.23 | Facility | None | $38.90 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $93.33 | Professional | None | $33.88 | $51.29 | $93.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $87.10 | Professional | None | $64.57 | $72.44 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $100.00 | Professional | None | $42.66 | $56.23 | $100.00 |
Lucent Health Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $426.58 | Professional | None | $346.74 | $426.58 | $426.58 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
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 $47.86 Median $70.79 Typical High $117.49 | Facility | None | $47.86 | $70.79 | $117.49 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $87.10 | Professional | None | $33.88 | $51.29 | $87.10 |
Sutter Health Plus Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $85.11 | Professional | None | $41.69 | $53.70 | $85.11 |
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 $23.99 Median $35.48 Typical High $131.83 | Facility | 52 · Reduced service | $23.99 | $35.48 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.99 Typical High $26.92 | Professional | 52 · Reduced service | $22.91 | $23.99 | $26.92 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | GP · Physical therapy plan | $53.70 | $53.70 | $53.70 |
Where California sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 19th of 51
$56.23
AK $110UT $31.62
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.