How much rates vary
Facilitymedian $112 · 10th to 90th $78 to $209Professionalmedian $85 · 10th to 90th $60 to $141
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 $36.31 Median $72.44 Typical High $85.11 | Facility | None | $36.31 | $72.44 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $77.62 Typical High $112.20 | Professional | None | $36.31 | $77.62 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | None | $61.66 | $79.43 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $588.84 | Facility | None | $112.20 | $141.25 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $141.25 | Professional | None | $75.86 | $123.03 | $141.25 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $213.80 Typical High $269.15 | Facility | None | $66.07 | $213.80 | $269.15 |
Blue Shield Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $100.00 | Professional | None | $60.26 | $85.11 | $100.00 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $114.82 | Professional | None | $83.18 | $85.11 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $147.91 | Professional | None | $79.43 | $97.72 | $147.91 |
Contra Costa Health Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $114.82 | Professional | None | $69.18 | $83.18 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $138.04 | Professional | None | $66.07 | $89.13 | $138.04 |
Lucent Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $117.49 | Professional | None | $70.79 | $75.86 | $117.49 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $125.89 | Facility | None | $77.62 | $97.72 | $125.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $158.49 | Professional | None | $79.43 | $97.72 | $158.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | None | $204.17 | $204.17 | $223.87 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $257.04 | Facility | None | $165.96 | $165.96 | $257.04 |
United Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $125.89 | Professional | None | $60.26 | $81.28 | $125.89 |
4 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 $18.20 Median $35.48 Typical High $42.66 | Facility | 52 · Reduced service | $18.20 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $35.48 Typical High $41.69 | Professional | 52 · Reduced service | $18.20 | $35.48 | $41.69 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $61.66 Median $75.86 Typical High $81.28 | Professional | 25 · Same-day visit | $61.66 | $75.86 | $81.28 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $61.66 Median $75.86 Typical High $100.00 | Professional | 33 · Preventive service | $61.66 | $75.86 | $100.00 |
Where California sits
The same service costs 2.8 times more in Alaska than in New York. 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· 24th of 51
$85.11
AK $182NY $64.57
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.