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 $16.60 Median $39.81 Typical High $102.33 | Facility | None | $16.60 | $39.81 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $16.98 Typical High $18.62 | Professional | None | $13.80 | $16.98 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $27.54 | Professional | None | $15.49 | $15.49 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $30.90 Typical High $85.11 | Facility | None | $20.89 | $30.90 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $36.31 | Professional | None | $7.24 | $10.47 | $36.31 |
Blue Shield Setting Facility Modifier None Typical Low $38.02 Median $114.82 Typical High $213.80 | Facility | None | $38.02 | $114.82 | $213.80 |
Blue Shield Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $27.54 | Professional | None | $12.30 | $17.38 | $27.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $17.78 | Professional | None | $13.80 | $13.80 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $27.54 Typical High $57.54 | Facility | None | $12.02 | $27.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $17.78 Typical High $44.67 | Professional | None | $9.33 | $17.78 | $44.67 |
Contra Costa Health Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $19.05 | Professional | None | $13.80 | $19.05 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $47.86 | Professional | None | $14.45 | $19.05 | $47.86 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Providence Setting Facility Modifier None Typical Low $13.18 Median $20.42 Typical High $50.12 | Facility | None | $13.18 | $20.42 | $50.12 |
Providence Setting Professional Modifier None Typical Low $9.33 Median $16.98 Typical High $36.31 | Professional | None | $9.33 | $16.98 | $36.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $16.98 | Facility | None | $7.24 | $7.24 | $16.98 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $39.81 | Professional | None | $7.24 | $10.23 | $39.81 |
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 $8.32 Median $21.38 Typical High $51.29 | Facility | 52 · Reduced service | $8.32 | $21.38 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $8.71 Typical High $20.89 | Facility | 53 · Discontinued | $3.31 | $8.71 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $6.61 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $2.63 | $3.39 | $3.39 |
Where California sits
The same service costs 9.5 times more in Minnesota than in Kentucky. 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· 20th of 51
$17.38
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.