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 $38.02 Typical High $97.72 | Facility | None | $15.49 | $38.02 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $15.49 Typical High $15.85 | Professional | None | $10.00 | $15.49 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $67.61 | Facility | None | $16.98 | $24.55 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $9.33 Typical High $22.39 | Professional | None | $6.76 | $9.33 | $22.39 |
Blue Shield Setting Facility Modifier None Typical Low $33.88 Median $107.15 Typical High $204.17 | Facility | None | $33.88 | $107.15 | $204.17 |
Blue Shield Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $26.92 | Professional | None | $8.51 | $12.02 | $26.92 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $15.85 | Professional | None | $10.96 | $10.96 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $22.39 Typical High $47.86 | Facility | None | $9.55 | $22.39 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $15.14 Typical High $41.69 | Professional | None | $8.71 | $15.14 | $41.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $15.14 | Professional | None | $12.30 | $15.14 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $38.02 | Professional | None | $11.75 | $15.14 | $38.02 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $16.60 | Professional | None | $8.32 | $8.32 | $16.60 |
Providence Setting Facility Modifier None Typical Low $10.00 Median $16.60 Typical High $40.74 | Facility | None | $10.00 | $16.60 | $40.74 |
Providence Setting Professional Modifier None Typical Low $8.71 Median $13.80 Typical High $33.88 | Professional | None | $8.71 | $13.80 | $33.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $13.80 | Facility | None | $5.75 | $5.75 | $13.80 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $37.15 | Professional | None | $5.75 | $8.32 | $37.15 |
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 $20.42 Typical High $48.98 | Facility | 52 · Reduced service | $7.76 | $20.42 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $8.13 Typical High $19.50 | Facility | 53 · Discontinued | $3.09 | $8.13 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $5.50 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.19 | $3.16 | $3.16 |
Where California sits
The same service costs 3.4 times more in Alaska than in Georgia. 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· 25th of 51
$13.49
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.