How much rates vary
Facilitymedian $347 · 10th to 90th $102 to $676Professionalmedian $110 · 10th to 90th $89 to $407
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $173.78 | Professional | None | $89.13 | $89.13 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $87.10 | Professional | 52 · Reduced service | $44.67 | $44.67 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $35.48 | Professional | 53 · Discontinued | $18.20 | $18.20 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $26.30 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $17.38 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $371.54 Typical High $724.44 | Facility | None | $109.65 | $371.54 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Blue Shield Setting Facility Modifier None Typical Low $131.83 Median $316.23 Typical High $537.03 | Facility | None | $131.83 | $316.23 | $537.03 |
Blue Shield Setting Professional Modifier None Typical Low $245.47 Median $562.34 Typical High $933.25 | Professional | None | $245.47 | $562.34 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $64.57 Median $134.90 Typical High $245.47 | Professional | None | $64.57 | $134.90 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $281.84 | Professional | None | $186.21 | $199.53 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,412.54 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $173.78 Typical High $338.84 | Facility | None | $89.13 | $173.78 | $338.84 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Sutter Health Plus Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $295.12 | Facility | None | $251.19 | $251.19 | $295.12 |
United Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $234.42 | Professional | None | $100.00 | $109.65 | $234.42 |
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 2.8 times more in Minnesota 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· 49th of 51
$110
MN $295UT $107
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.