How much rates vary
Facilitymedian $417 · 10th to 90th $126 to $832Professionalmedian $135 · 10th to 90th $93 to $501
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $181.97 | Professional | None | $93.33 | $93.33 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $91.20 | Professional | 52 · Reduced service | $46.77 | $46.77 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $36.31 | Professional | 53 · Discontinued | $18.62 | $18.62 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $27.54 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $18.20 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $446.68 Typical High $891.25 | Facility | None | $131.83 | $446.68 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Blue Shield Setting Facility Modifier None Typical Low $158.49 Median $389.05 Typical High $645.65 | Facility | None | $158.49 | $389.05 | $645.65 |
Blue Shield Setting Professional Modifier None Typical Low $295.12 Median $691.83 Typical High $1,148.15 | Professional | None | $295.12 | $691.83 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Contra Costa Health Setting Professional Modifier None Typical Low $64.57 Median $269.15 Typical High $323.59 | Professional | None | $64.57 | $269.15 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $354.81 | Professional | None | $245.47 | $245.47 | $354.81 |
Lucent Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,290.87 | Professional | None | $1,513.56 | $1,513.56 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $229.09 Typical High $389.05 | Facility | None | $93.33 | $229.09 | $389.05 |
Providence Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $309.03 | Facility | None | $263.03 | $263.03 | $309.03 |
United Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $288.40 | Professional | None | $104.71 | $112.20 | $288.40 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where California sits
The same service costs 2.5 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· 43rd of 51
$135
AK $269UT $110
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.