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 $64.57 Median $169.82 Typical High $407.38 | Facility | None | $64.57 | $169.82 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $77.62 | Professional | None | $50.12 | $67.61 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $100.00 Typical High $275.42 | Facility | None | $69.18 | $100.00 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $112.20 | Professional | None | $27.54 | $39.81 | $112.20 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $851.14 | Facility | None | $100.00 | $446.68 | $851.14 |
Blue Shield Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $89.13 | Professional | None | $34.67 | $48.98 | $89.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $72.44 | Professional | None | $44.67 | $44.67 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $85.11 Typical High $194.98 | Facility | None | $38.02 | $85.11 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $51.29 Typical High $128.82 | Professional | None | $29.51 | $51.29 | $128.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | None | $56.23 | $61.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $147.91 | Professional | None | $44.67 | $61.66 | $147.91 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $67.61 | Professional | None | $33.88 | $33.88 | $67.61 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $70.79 Typical High $165.96 | Facility | None | $36.31 | $70.79 | $165.96 |
Providence Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $117.49 | Professional | None | $30.20 | $51.29 | $117.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $56.23 | Facility | None | $23.44 | $23.44 | $56.23 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.88 Typical High $151.36 | Professional | None | $23.44 | $33.88 | $151.36 |
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 $32.36 Median $85.11 Typical High $204.17 | Facility | 52 · Reduced service | $32.36 | $85.11 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $33.88 Typical High $81.28 | Facility | 53 · Discontinued | $13.18 | $33.88 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $23.99 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $9.55 | $13.49 | $13.49 |
Where California sits
The same service costs 4.3 times more in Kansas than in Oklahoma. 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· 24th of 51
$56.23
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.