How much rates vary
Facilitymedian $282 · 10th to 90th $105 to $933Professionalmedian $105 · 10th to 90th $46 to $269
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 $91.20 Median $213.80 Typical High $630.96 | Facility | None | $91.20 | $213.80 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $223.87 | Professional | None | $102.33 | $114.82 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $141.25 | Professional | None | $52.48 | $77.62 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $776.25 | Facility | None | $194.98 | $281.84 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $104.71 Typical High $275.42 | Professional | None | $45.71 | $104.71 | $275.42 |
Blue Shield Setting Facility Modifier None Typical Low $162.18 Median $707.95 Typical High $1,318.26 | Facility | None | $162.18 | $707.95 | $1,318.26 |
Blue Shield Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $120.23 | Professional | None | $56.23 | $79.43 | $120.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $141.25 | Professional | None | $109.65 | $125.89 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $269.15 Typical High $478.63 | Facility | None | $102.33 | $269.15 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $204.17 | Professional | None | $83.18 | $83.18 | $204.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $97.72 Median $173.78 Typical High $173.78 | Professional | None | $97.72 | $173.78 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $416.87 | Professional | None | $125.89 | $162.18 | $416.87 |
Lucent Health Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $302.00 | Professional | None | $131.83 | $173.78 | $302.00 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $158.49 Typical High $416.87 | Facility | None | $104.71 | $158.49 | $416.87 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $154.88 | Professional | None | $83.18 | $83.18 | $154.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $154.88 | Facility | None | $66.07 | $66.07 | $154.88 |
United Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $416.87 | Professional | None | $51.29 | $93.33 | $416.87 |
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 $45.71 Median $107.15 Typical High $316.23 | Facility | 52 · Reduced service | $45.71 | $107.15 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $42.66 Typical High $128.82 | Facility | 53 · Discontinued | $18.62 | $42.66 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $45.71 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $18.62 | $20.89 | $25.12 |
Where California sits
The same service costs 5.4 times more in Wyoming than in Georgia. 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· 32nd of 51
$115
WY $245GA $45.71
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.