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 $5.37 Median $13.80 Typical High $33.11 | Facility | None | $5.37 | $13.80 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $5.50 Typical High $5.50 | Professional | None | $3.72 | $5.50 | $5.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.62 Median $8.71 Typical High $22.39 | Facility | None | $5.62 | $8.71 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $3.24 Typical High $10.23 | Professional | None | $2.24 | $3.24 | $10.23 |
Blue Shield Setting Facility Modifier None Typical Low $11.75 Median $41.69 Typical High $69.18 | Facility | None | $11.75 | $41.69 | $69.18 |
Blue Shield Setting Professional Modifier None Typical Low $2.82 Median $4.07 Typical High $7.24 | Professional | None | $2.82 | $4.07 | $7.24 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $5.89 | Professional | None | $3.63 | $3.63 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $6.92 Typical High $15.85 | Facility | None | $3.16 | $6.92 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $5.01 Typical High $15.14 | Professional | None | $2.95 | $5.01 | $15.14 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.07 Median $5.01 Typical High $5.01 | Professional | None | $4.07 | $5.01 | $5.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.89 Median $5.01 Typical High $12.88 | Professional | None | $3.89 | $5.01 | $12.88 |
Molina Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $4.57 | Professional | None | $2.29 | $2.29 | $4.57 |
Providence Setting Facility Modifier None Typical Low $3.63 Median $5.75 Typical High $13.80 | Facility | None | $3.63 | $5.75 | $13.80 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $4.57 Typical High $11.75 | Professional | None | $2.95 | $4.57 | $11.75 |
Sutter Health Plus Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
United Setting Facility Modifier None Typical Low $1.91 Median $1.91 Typical High $4.57 | Facility | None | $1.91 | $1.91 | $4.57 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.75 Typical High $12.30 | Professional | None | $1.91 | $2.75 | $12.30 |
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 $2.63 Median $6.92 Typical High $16.60 | Facility | 52 · Reduced service | $2.63 | $6.92 | $16.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $2.75 Typical High $6.61 | Facility | 53 · Discontinued | $1.07 | $2.75 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $2.69 Typical High $2.69 | Professional | 52 · Reduced service | $1.86 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $1.10 Typical High $1.10 | Professional | 53 · Discontinued | $0.74 | $1.10 | $1.10 |
Where California sits
The same service costs 3.5 times more in Alaska than in Connecticut. 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· 24th of 51
$4.68
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.