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 $57.54 Median $63.10 Typical High $72.44 | Facility | None | $57.54 | $63.10 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $75.86 | Professional | None | $56.23 | $63.10 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $89.13 Typical High $371.54 | Facility | None | $70.79 | $89.13 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $151.36 | Professional | None | $60.26 | $72.44 | $151.36 |
Blue Shield Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $64.57 | Professional | None | $42.66 | $57.54 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $128.82 | Professional | None | $58.88 | $67.61 | $128.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $72.44 | Professional | None | $51.29 | $64.57 | $72.44 |
Lucent Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $95.50 | Professional | None | $56.23 | $56.23 | $95.50 |
Optum Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $70.79 | Professional | None | $50.12 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $123.03 | Facility | None | $61.66 | $87.10 | $123.03 |
Providence Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $120.23 | Professional | None | $50.12 | $67.61 | $120.23 |
United Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $75.86 | Professional | None | $50.12 | $54.95 | $75.86 |
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 $72.44 Median $75.86 Typical High $79.43 | Facility | AF · Specialist physician | $72.44 | $75.86 | $79.43 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $54.95 Median $57.54 Typical High $60.26 | Facility | HO · Master's level | $54.95 | $57.54 | $60.26 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $56.23 Median $64.57 Typical High $67.61 | Facility | TD · Registered nurse | $56.23 | $64.57 | $67.61 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $72.44 Median $75.86 Typical High $83.18 | Professional | AF · Specialist physician | $72.44 | $75.86 | $83.18 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $54.95 Median $57.54 Typical High $63.10 | Professional | HO · Master's level | $54.95 | $57.54 | $63.10 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $56.23 Median $64.57 Typical High $70.79 | Professional | TD · Registered nurse | $56.23 | $64.57 | $70.79 |
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
$63.10
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.