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 $58.88 Median $154.88 Typical High $371.54 | Facility | None | $58.88 | $154.88 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $58.88 Typical High $60.26 | Professional | None | $37.15 | $58.88 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $91.20 Typical High $251.19 | Facility | None | $61.66 | $91.20 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $102.33 | Professional | None | $25.12 | $35.48 | $102.33 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $407.38 Typical High $758.58 | Facility | None | $95.50 | $407.38 | $758.58 |
Blue Shield Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $81.28 | Professional | None | $30.90 | $44.67 | $81.28 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $66.07 | Professional | None | $40.74 | $40.74 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $75.86 Typical High $173.78 | Facility | None | $35.48 | $75.86 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $56.23 Typical High $158.49 | Professional | None | $33.11 | $56.23 | $158.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $54.95 | Professional | None | $50.12 | $54.95 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $141.25 | Professional | None | $42.66 | $54.95 | $141.25 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $50.12 | Professional | None | $25.12 | $25.12 | $50.12 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $63.10 Typical High $151.36 | Facility | None | $35.48 | $63.10 | $151.36 |
Providence Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $125.89 | Professional | None | $33.11 | $50.12 | $125.89 |
Sutter Health Plus Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $50.12 | Facility | None | $21.38 | $21.38 | $50.12 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $134.90 | Professional | None | $21.38 | $30.20 | $134.90 |
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 $29.51 Median $75.86 Typical High $181.97 | Facility | 52 · Reduced service | $29.51 | $75.86 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $30.90 Typical High $74.13 | Facility | 53 · Discontinued | $11.75 | $30.90 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $21.38 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $8.51 | $12.02 | $12.02 |
Where California sits
The same service costs 3.8 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· 24th of 51
$50.12
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.