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 $15.49 Median $40.74 Typical High $95.50 | Facility | None | $15.49 | $40.74 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | None | $12.59 | $15.85 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $33.11 Typical High $91.20 | Facility | None | $22.91 | $33.11 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $23.99 | Professional | None | $7.41 | $9.33 | $23.99 |
Blue Shield Setting Facility Modifier None Typical Low $37.15 Median $107.15 Typical High $199.53 | Facility | None | $37.15 | $107.15 | $199.53 |
Blue Shield Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $19.05 | Professional | None | $8.51 | $12.02 | $19.05 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $19.50 | Professional | None | $14.79 | $14.79 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $28.18 Typical High $61.66 | Facility | None | $12.59 | $28.18 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $15.49 Typical High $42.66 | Professional | None | $9.77 | $15.49 | $42.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $20.42 | Professional | None | $14.79 | $20.42 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $50.12 | Professional | None | $15.14 | $19.50 | $50.12 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $21.88 Typical High $50.12 | Facility | None | $12.30 | $21.88 | $50.12 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $16.60 Typical High $38.90 | Professional | None | $9.77 | $16.60 | $38.90 |
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 $10.47 Typical High $43.65 | Professional | None | $7.76 | $10.47 | $43.65 |
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 $7.76 Median $19.05 Typical High $47.86 | Facility | 52 · Reduced service | $7.76 | $19.05 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $7.59 Typical High $19.50 | Facility | 53 · Discontinued | $3.09 | $7.59 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $6.92 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.16 Typical High $3.24 | Professional | 53 · Discontinued | $2.82 | $3.16 | $3.24 |
Where California sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 35th of 51
$14.45
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.