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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $229.09 | Facility | None | $57.54 | $83.18 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $43.65 Typical High $199.53 | Professional | None | $22.39 | $43.65 | $199.53 |
Blue Shield Setting Facility Modifier None Typical Low $33.88 Median $109.65 Typical High $138.04 | Facility | None | $33.88 | $109.65 | $138.04 |
Blue Shield Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $190.55 | Professional | None | $50.12 | $72.44 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $95.50 Typical High $281.84 | Facility | None | $38.02 | $95.50 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $54.95 Typical High $229.09 | Professional | None | $25.70 | $54.95 | $229.09 |
Contra Costa Health Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $63.10 | Professional | None | $46.77 | $51.29 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $123.03 | Professional | None | $41.69 | $53.70 | $123.03 |
Lucent Health Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $346.74 | Professional | None | $234.42 | $346.74 | $346.74 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $89.13 Typical High $251.19 | Facility | None | $43.65 | $89.13 | $251.19 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $58.88 Typical High $229.09 | Professional | None | $25.70 | $58.88 | $229.09 |
Sutter Health Plus Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $46.77 | Facility | None | $19.50 | $19.50 | $46.77 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $181.97 | Professional | None | $19.50 | $28.18 | $181.97 |
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 $41.69 Median $107.15 Typical High $257.04 | Facility | 52 · Reduced service | $41.69 | $107.15 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $42.66 Typical High $104.71 | Facility | 53 · Discontinued | $16.60 | $42.66 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Where California sits
The same service costs 8.3 times more in Texas 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· 5th of 51
$83.18
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.