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 $77.62 Median $204.17 Typical High $489.78 | Facility | None | $77.62 | $204.17 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $87.10 | Professional | None | $57.54 | $79.43 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $331.13 | Facility | None | $81.28 | $120.23 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $134.90 | Professional | None | $33.11 | $46.77 | $134.90 |
Blue Shield Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $1,000.00 | Facility | None | $117.49 | $537.03 | $1,000.00 |
Blue Shield Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $107.15 | Professional | None | $41.69 | $58.88 | $107.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $87.10 | Professional | None | $53.70 | $53.70 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $100.00 Typical High $229.09 | Facility | None | $46.77 | $100.00 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $75.86 Typical High $218.78 | Professional | None | $43.65 | $75.86 | $218.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $74.13 | Professional | None | $66.07 | $74.13 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $186.21 | Professional | None | $56.23 | $74.13 | $186.21 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $66.07 | Professional | None | $33.11 | $33.11 | $66.07 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $83.18 Typical High $199.53 | Facility | None | $50.12 | $83.18 | $199.53 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $173.78 | Professional | None | $43.65 | $66.07 | $173.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $66.07 | Facility | None | $28.18 | $28.18 | $66.07 |
United Setting Professional Modifier None Typical Low $28.18 Median $39.81 Typical High $177.83 | Professional | None | $28.18 | $39.81 | $177.83 |
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 $38.90 Median $102.33 Typical High $245.47 | Facility | 52 · Reduced service | $38.90 | $102.33 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $40.74 Typical High $97.72 | Facility | 53 · Discontinued | $15.49 | $40.74 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $28.18 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $11.22 | $15.85 | $15.85 |
Where California sits
The same service costs 3.9 times more in Kansas than in Texas. 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· 26th of 51
$66.07
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.