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 $33.88 Median $87.10 Typical High $208.93 | Facility | None | $33.88 | $87.10 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $34.67 | Professional | None | $21.88 | $33.88 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $141.25 | Facility | None | $35.48 | $51.29 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $66.07 | Professional | None | $14.13 | $20.42 | $66.07 |
Blue Shield Setting Facility Modifier None Typical Low $61.66 Median $229.09 Typical High $436.52 | Facility | None | $61.66 | $229.09 | $436.52 |
Blue Shield Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $45.71 | Professional | None | $17.78 | $25.70 | $45.71 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $37.15 | Professional | None | $22.91 | $22.91 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $42.66 Typical High $95.50 | Facility | None | $19.95 | $42.66 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $30.90 Typical High $95.50 | Professional | None | $19.05 | $30.90 | $95.50 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | None | $25.70 | $31.62 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $81.28 | Professional | None | $24.55 | $31.62 | $81.28 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $28.84 | Professional | None | $14.45 | $14.45 | $28.84 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $36.31 Typical High $85.11 | Facility | None | $23.99 | $36.31 | $85.11 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $28.84 Typical High $72.44 | Professional | None | $19.05 | $28.84 | $72.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $28.84 | Facility | None | $12.02 | $12.02 | $28.84 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $77.62 | Professional | None | $12.02 | $17.38 | $77.62 |
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 $16.98 Median $43.65 Typical High $104.71 | Facility | 52 · Reduced service | $16.98 | $43.65 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.76 Median $17.38 Typical High $41.69 | Facility | 53 · Discontinued | $6.76 | $17.38 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $12.30 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $4.90 | $6.92 | $6.92 |
Where California sits
The same service costs 5.5 times more in Kansas than in Alabama. 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· 22nd of 51
$29.51
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.