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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | None | $41.69 | $41.69 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $11.22 Typical High $33.88 | Professional | None | $7.59 | $11.22 | $33.88 |
Blue Shield Setting Facility Modifier None Typical Low $47.86 Median $87.10 Typical High $151.36 | Facility | None | $47.86 | $87.10 | $151.36 |
Blue Shield Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $12.59 | Professional | None | $7.59 | $10.72 | $12.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.80 | Professional | None | $11.22 | $11.22 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $95.50 Typical High $95.50 | Professional | None | $32.36 | $95.50 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $19.95 | Professional | None | $8.91 | $10.72 | $19.95 |
Lucent Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $41.69 Typical High $60.26 | Facility | None | $12.02 | $41.69 | $60.26 |
Providence Setting Professional Modifier None Typical Low $16.60 Median $107.15 Typical High $107.15 | Professional | None | $16.60 | $107.15 | $107.15 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $72.44 | Facility | None | $47.86 | $47.86 | $72.44 |
United Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $33.88 | Professional | None | $16.22 | $20.42 | $33.88 |
2 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 Professional Modifier 52 · Reduced service Typical Low $15.85 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $15.85 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $6.31 | $8.32 | $8.32 |
Where California sits
The same service costs 44.7 times more in Nebraska 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· 44th of 51
$18.20
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.