How much rates vary
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 $14.13 Median $32.36 Typical High $107.15 | Facility | None | $14.13 | $32.36 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $15.85 Typical High $15.85 | Professional | None | $13.18 | $15.85 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $93.33 Typical High $95.50 | Facility | None | $46.77 | $93.33 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $8.13 Typical High $19.05 | Professional | None | $7.59 | $8.13 | $19.05 |
Blue Shield Setting Facility Modifier None Typical Low $37.15 Median $107.15 Typical High $204.17 | Facility | None | $37.15 | $107.15 | $204.17 |
Blue Shield Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $17.38 | Professional | None | $8.51 | $12.02 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $24.55 Typical High $50.12 | Facility | None | $12.88 | $24.55 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $28.18 | Professional | None | $19.05 | $22.91 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $20.42 | Professional | None | $18.62 | $20.42 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $50.12 | Professional | None | $15.85 | $19.50 | $50.12 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $19.05 Typical High $42.66 | Facility | None | $12.30 | $19.05 | $42.66 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $18.62 | Professional | None | $14.45 | $18.62 | $18.62 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $18.62 | Facility | None | $7.76 | $7.76 | $18.62 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $50.12 | Professional | None | $7.76 | $11.22 | $50.12 |
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 $7.08 Median $15.85 Typical High $53.70 | Facility | 52 · Reduced service | $7.08 | $15.85 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $6.31 Typical High $21.38 | Facility | 53 · Discontinued | $2.82 | $6.31 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $6.46 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.63 | $3.16 | $3.16 |
Where California sits
The same service costs 10.5 times more in Alaska than in Alabama. 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· 40th of 51
$12.30
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.