How much rates vary
Facilitymedian $447 · 10th to 90th $135 to $891Professionalmedian $141 · 10th to 90th $87 to $537
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $158.49 | Professional | None | $87.10 | $87.10 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $81.28 | Professional | 52 · Reduced service | $43.65 | $43.65 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $32.36 | Professional | 53 · Discontinued | $17.38 | $17.38 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $24.55 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $16.22 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $478.63 Typical High $954.99 | Facility | None | $141.25 | $478.63 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Blue Shield Setting Facility Modifier None Typical Low $169.82 Median $416.87 Typical High $691.83 | Facility | None | $169.82 | $416.87 | $691.83 |
Blue Shield Setting Professional Modifier None Typical Low $316.23 Median $741.31 Typical High $1,230.27 | Professional | None | $316.23 | $741.31 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $64.57 Median $288.40 Typical High $346.74 | Professional | None | $64.57 | $288.40 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $363.08 | Professional | None | $199.53 | $257.04 | $363.08 |
Lucent Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,659.59 | $1,659.59 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $213.80 Typical High $407.38 | Facility | None | $87.10 | $213.80 | $407.38 |
Providence Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Facility | None | $245.47 | $245.47 | $288.40 |
United Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $269.15 | Professional | None | $97.72 | $104.71 | $269.15 |
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 3.3 times more in Alaska than in Indiana. 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· 36th of 51
$141
AK $347IN $105
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.