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 $0.02 Median $0.05 Typical High $0.07 | Facility | None | $0.02 | $0.05 | $0.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $19.50 | $19.50 | $19.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None (both parts) | $5.50 | $5.50 | $5.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.00 Median $2.14 Typical High $2.34 | Facility | None | $2.00 | $2.14 | $2.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2.04 Median $7.76 Typical High $29.51 | Professional | None (both parts) | $2.04 | $7.76 | $29.51 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $52.48 | Professional | None (both parts) | $26.92 | $38.02 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $1.62 Median $2.14 Typical High $6,165.95 | Facility | None | $1.62 | $2.14 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $20.42 Typical High $43.65 | Professional | None (both parts) | $12.88 | $20.42 | $43.65 |
Contra Costa Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $61.66 Typical High $407.38 | Professional | None | $21.88 | $61.66 | $407.38 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $33.88 Typical High $57.54 | Facility | None | $25.70 | $33.88 | $57.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.88 Median $15.85 Typical High $45.71 | Professional | None (both parts) | $12.88 | $15.85 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $10.23 Median $10.96 Typical High $74.13 | Professional | None (both parts) | $10.23 | $10.96 | $74.13 |
3 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 $0.02 Median $0.03 Typical High $0.04 | Facility | 52 · Reduced service | $0.02 | $0.03 | $0.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where California sits
The same service costs 49.0 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· 19th of 51
$19.05
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.