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 $29.51 Median $32.36 Typical High $38.02 | Facility | None | $29.51 | $32.36 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $40.74 | Professional | None | $28.18 | $32.36 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $36.31 | Professional | None | $32.36 | $33.88 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $44.67 Typical High $181.97 | Facility | None | $35.48 | $44.67 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $75.86 | Professional | None | $30.20 | $37.15 | $75.86 |
Blue Shield Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $32.36 | Professional | None | $20.89 | $29.51 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $64.57 | Professional | None | $29.51 | $34.67 | $64.57 |
Contra Costa Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $33.11 Typical High $38.02 | Professional | None | $25.70 | $33.11 | $38.02 |
Lucent Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | None | $29.51 | $29.51 | $48.98 |
Optum Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $36.31 | Professional | None | $26.30 | $28.84 | $36.31 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $61.66 | Facility | None | $30.90 | $43.65 | $61.66 |
Providence Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $64.57 | Professional | None | $29.51 | $35.48 | $64.57 |
United Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $39.81 | Professional | None | $26.30 | $28.84 | $39.81 |
6 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 AF · Specialist physician Typical Low $38.02 Median $39.81 Typical High $41.69 | Facility | AF · Specialist physician | $38.02 | $39.81 | $41.69 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $28.18 Median $29.51 Typical High $30.90 | Facility | HO · Master's level | $28.18 | $29.51 | $30.90 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $28.18 Median $33.88 Typical High $35.48 | Facility | TD · Registered nurse | $28.18 | $33.88 | $35.48 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $38.02 Median $39.81 Typical High $43.65 | Professional | AF · Specialist physician | $38.02 | $39.81 | $43.65 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $28.18 Median $29.51 Typical High $32.36 | Professional | HO · Master's level | $28.18 | $29.51 | $32.36 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $28.18 Median $33.88 Typical High $37.15 | Professional | TD · Registered nurse | $28.18 | $33.88 | $37.15 |
Where California sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 20th of 51
$32.36
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.