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 $13.18 Median $33.88 Typical High $81.28 | Facility | None | $13.18 | $33.88 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $13.49 | Professional | None | $9.33 | $13.18 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $21.88 Typical High $60.26 | Facility | None | $15.14 | $21.88 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $34.67 | Professional | None | $5.50 | $7.94 | $34.67 |
Blue Shield Setting Facility Modifier None Typical Low $28.84 Median $89.13 Typical High $169.82 | Facility | None | $28.84 | $89.13 | $169.82 |
Blue Shield Setting Professional Modifier None Typical Low $6.92 Median $10.00 Typical High $17.78 | Professional | None | $6.92 | $10.00 | $17.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $15.85 | Professional | None | $9.77 | $9.77 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $18.62 Typical High $40.74 | Facility | None | $8.32 | $18.62 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $12.30 Typical High $50.12 | Professional | None | $7.24 | $12.30 | $50.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $13.49 | Professional | None | $10.00 | $13.49 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $12.88 Typical High $33.11 | Professional | None | $9.77 | $12.88 | $33.11 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $14.79 | Professional | None | $7.41 | $7.41 | $14.79 |
Providence Setting Facility Modifier None Typical Low $9.55 Median $15.49 Typical High $38.02 | Facility | None | $9.55 | $15.49 | $38.02 |
Providence Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $28.18 | Professional | None | $7.24 | $12.02 | $28.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $30.90 | Professional | None | $5.13 | $7.41 | $30.90 |
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 $6.46 Median $16.98 Typical High $40.74 | Facility | 52 · Reduced service | $6.46 | $16.98 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $6.76 Typical High $16.22 | Facility | 53 · Discontinued | $2.63 | $6.76 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $5.01 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.00 | $2.69 | $2.69 |
Where California sits
The same service costs 3.5 times more in Kansas than in Nebraska. 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· 23rd of 51
$13.18
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.