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 $30.90 Median $81.28 Typical High $194.98 | Facility | None | $30.90 | $81.28 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $31.62 | Professional | None | $21.38 | $31.62 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $47.86 Typical High $131.83 | Facility | None | $33.11 | $47.86 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $60.26 | Professional | None | $13.18 | $18.62 | $60.26 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $213.80 Typical High $398.11 | Facility | None | $60.26 | $213.80 | $398.11 |
Blue Shield Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $42.66 | Professional | None | $16.60 | $23.44 | $42.66 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $34.67 | Professional | None | $21.38 | $21.38 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $39.81 Typical High $91.20 | Facility | None | $18.62 | $39.81 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $28.84 Typical High $87.10 | Professional | None | $17.38 | $28.84 | $87.10 |
Contra Costa Health Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | None | $23.44 | $29.51 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $74.13 | Professional | None | $22.39 | $27.54 | $74.13 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $26.30 | Professional | None | $13.18 | $13.18 | $26.30 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $34.67 Typical High $89.13 | Facility | None | $21.38 | $34.67 | $89.13 |
Providence Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $67.61 | Professional | None | $17.38 | $26.30 | $67.61 |
Sutter Health Plus Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $70.79 | Professional | None | $11.22 | $15.85 | $70.79 |
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 $15.49 Median $40.74 Typical High $97.72 | Facility | 52 · Reduced service | $15.49 | $40.74 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $16.22 Typical High $38.90 | Facility | 53 · Discontinued | $6.17 | $16.22 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $10.72 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $4.27 | $6.31 | $6.31 |
Where California sits
The same service costs 3.6 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· 19th of 51
$30.20
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.