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 $3.72 Median $8.71 Typical High $22.91 | Facility | None | $3.72 | $8.71 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.17 Typical High $7.41 | Professional | None | $3.55 | $4.17 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $3.24 Typical High $3.98 | Professional | None | $2.00 | $3.24 | $3.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $7.59 Typical High $19.95 | Facility | None | $4.90 | $7.59 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $2.40 Typical High $7.08 | Professional | None | $2.24 | $2.40 | $7.08 |
Blue Shield Setting Facility Modifier None Typical Low $8.71 Median $28.84 Typical High $52.48 | Facility | None | $8.71 | $28.84 | $52.48 |
Blue Shield Setting Professional Modifier None Typical Low $1.95 Median $2.82 Typical High $5.13 | Professional | None | $1.95 | $2.82 | $5.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $5.25 | Professional | None | $3.24 | $3.24 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $6.03 Typical High $13.49 | Facility | None | $2.69 | $6.03 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $4.17 Typical High $10.47 | Professional | None | $2.40 | $4.17 | $10.47 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.57 Median $4.47 Typical High $4.47 | Professional | None | $2.57 | $4.47 | $4.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $10.96 | Professional | None | $3.24 | $4.47 | $10.96 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Providence Setting Facility Modifier None Typical Low $2.95 Median $4.79 Typical High $12.02 | Facility | None | $2.95 | $4.79 | $12.02 |
Providence Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $8.13 | Professional | None | $2.40 | $3.98 | $8.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.69 Typical High $9.33 | Professional | None | $2.40 | $2.69 | $9.33 |
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 $1.86 Median $4.79 Typical High $11.48 | Facility | 52 · Reduced service | $1.86 | $4.79 | $11.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.74 Median $1.91 Typical High $4.57 | Facility | 53 · Discontinued | $0.74 | $1.91 | $4.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.91 Typical High $1.91 | Professional | 52 · Reduced service | $1.51 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.62 | $0.76 | $0.76 |
Where California sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 25th of 51
$4.07
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.