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 $13.49 Median $35.48 Typical High $93.33 | Facility | None | $13.49 | $35.48 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $15.49 | Professional | None | $9.77 | $15.14 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.91 | Professional | None | $8.13 | $8.13 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $23.99 Typical High $64.57 | Facility | None | $16.22 | $23.99 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $21.38 | Professional | None | $6.61 | $9.12 | $21.38 |
Blue Shield Setting Facility Modifier None Typical Low $33.11 Median $104.71 Typical High $194.98 | Facility | None | $33.11 | $104.71 | $194.98 |
Blue Shield Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $25.70 | Professional | None | $8.13 | $11.75 | $25.70 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $15.14 | Professional | None | $10.72 | $10.72 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $21.38 Typical High $45.71 | Facility | None | $9.33 | $21.38 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $14.45 Typical High $39.81 | Professional | None | $8.32 | $14.45 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $14.45 | Professional | None | $11.75 | $14.45 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $37.15 | Professional | None | $11.22 | $14.45 | $37.15 |
Molina Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $15.85 | Professional | None | $7.94 | $7.94 | $15.85 |
Providence Setting Facility Modifier None Typical Low $9.77 Median $15.85 Typical High $39.81 | Facility | None | $9.77 | $15.85 | $39.81 |
Providence Setting Professional Modifier None Typical Low $8.32 Median $13.18 Typical High $32.36 | Professional | None | $8.32 | $13.18 | $32.36 |
Sutter Health Plus Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $13.18 | Facility | None | $5.62 | $5.62 | $13.18 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $35.48 | Professional | None | $5.62 | $7.94 | $35.48 |
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 $7.59 Median $19.50 Typical High $46.77 | Facility | 52 · Reduced service | $7.59 | $19.50 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $7.76 Typical High $18.62 | Facility | 53 · Discontinued | $3.02 | $7.76 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $5.62 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $2.24 | $3.09 | $3.09 |
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· 27th of 51
$13.18
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.