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 $19.50 Median $51.29 Typical High $123.03 | Facility | None | $19.50 | $51.29 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $47.86 | Professional | None | $17.78 | $19.95 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $107.15 Typical High $295.12 | Facility | None | $74.13 | $107.15 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $74.13 | Professional | None | $13.18 | $23.99 | $74.13 |
Blue Shield Setting Facility Modifier None Typical Low $46.77 Median $141.25 Typical High $251.19 | Facility | None | $46.77 | $141.25 | $251.19 |
Blue Shield Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $27.54 | Professional | None | $10.47 | $14.79 | $27.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $53.70 | Professional | None | $36.31 | $47.86 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $91.20 Typical High $194.98 | Facility | None | $20.89 | $91.20 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $32.36 Typical High $91.20 | Professional | None | $12.30 | $32.36 | $91.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $18.20 Median $66.07 Typical High $66.07 | Professional | None | $18.20 | $66.07 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $162.18 | Professional | None | $47.86 | $61.66 | $162.18 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $60.26 | Professional | None | $30.20 | $30.20 | $60.26 |
Providence Setting Facility Modifier None Typical Low $20.89 Median $60.26 Typical High $158.49 | Facility | None | $20.89 | $60.26 | $158.49 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $31.62 Typical High $120.23 | Professional | None | $12.30 | $31.62 | $120.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $60.26 | Facility | None | $25.12 | $25.12 | $60.26 |
United Setting Professional Modifier None Typical Low $9.77 Median $25.12 Typical High $138.04 | Professional | None | $9.77 | $25.12 | $138.04 |
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 $9.77 Median $25.70 Typical High $61.66 | Facility | 52 · Reduced service | $9.77 | $25.70 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $10.23 Typical High $24.55 | Facility | 53 · Discontinued | $3.89 | $10.23 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $10.00 Typical High $23.99 | Professional | 52 · Reduced service | $8.91 | $10.00 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.98 Typical High $9.55 | Professional | 53 · Discontinued | $3.55 | $3.98 | $9.55 |
Where California sits
The same service costs 8.7 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· 43rd of 51
$33.11
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.