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 $16.22 Median $42.66 Typical High $100.00 | Facility | None | $16.22 | $42.66 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $18.20 | Professional | None | $12.02 | $16.60 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $25.70 Typical High $69.18 | Facility | None | $17.38 | $25.70 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $30.90 | Professional | None | $6.92 | $9.77 | $30.90 |
Blue Shield Setting Facility Modifier None Typical Low $35.48 Median $112.20 Typical High $208.93 | Facility | None | $35.48 | $112.20 | $208.93 |
Blue Shield Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $22.39 | Professional | None | $8.51 | $12.30 | $22.39 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $18.62 | Professional | None | $11.22 | $11.22 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $21.38 Typical High $47.86 | Facility | None | $9.77 | $21.38 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $45.71 | Professional | None | $9.12 | $14.79 | $45.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | None | $12.30 | $15.49 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $39.81 | Professional | None | $12.02 | $15.49 | $39.81 |
Molina Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $14.13 | Professional | None | $7.08 | $7.08 | $14.13 |
Providence Setting Facility Modifier None Typical Low $11.48 Median $17.38 Typical High $42.66 | Facility | None | $11.48 | $17.38 | $42.66 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $14.13 Typical High $35.48 | Professional | None | $9.12 | $14.13 | $35.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $14.13 | Facility | None | $6.03 | $6.03 | $14.13 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $38.02 | Professional | None | $6.03 | $8.51 | $38.02 |
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 $8.13 Median $20.89 Typical High $50.12 | Facility | 52 · Reduced service | $8.13 | $20.89 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.24 Median $8.51 Typical High $20.42 | Facility | 53 · Discontinued | $3.24 | $8.51 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $6.03 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.40 | $3.31 | $3.31 |
Where California sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$14.79
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.