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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $173.78 | Facility | None | $42.66 | $63.10 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $22.39 Typical High $134.90 | Professional | None | $10.72 | $22.39 | $134.90 |
Blue Shield Setting Facility Modifier None Typical Low $25.12 Median $81.28 Typical High $102.33 | Facility | None | $25.12 | $81.28 | $102.33 |
Blue Shield Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $151.36 | Professional | None | $40.74 | $57.54 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $69.18 Typical High $117.49 | Facility | None | $28.18 | $69.18 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $40.74 Typical High $173.78 | Professional | None | $18.62 | $40.74 | $173.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $46.77 | Professional | None | $34.67 | $38.90 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $93.33 | Professional | None | $31.62 | $38.90 | $93.33 |
Lucent Health Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $263.03 | Professional | None | $173.78 | $263.03 | $263.03 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $61.66 Typical High $109.65 | Facility | None | $30.20 | $61.66 | $109.65 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $42.66 Typical High $173.78 | Professional | None | $19.05 | $42.66 | $173.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $34.67 | Facility | None | $14.79 | $14.79 | $34.67 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $154.88 | Professional | None | $14.79 | $20.89 | $154.88 |
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 $14.45 Median $21.88 Typical High $53.70 | Facility | 52 · Reduced service | $14.45 | $21.88 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $8.91 Typical High $21.38 | Facility | 53 · Discontinued | $5.75 | $8.91 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Where California sits
The same service costs 3.8 times more in Alaska than in New Mexico. 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· 4th of 51
$57.54
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.