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 $7.08 Median $17.38 Typical High $43.65 | Facility | None | $7.08 | $17.38 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $7.24 Typical High $12.02 | Professional | None | $6.31 | $7.24 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $25.12 Typical High $69.18 | Facility | None | $17.38 | $25.12 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.62 Typical High $18.20 | Professional | None | $4.68 | $5.62 | $18.20 |
Blue Shield Setting Facility Modifier None Typical Low $17.38 Median $53.70 Typical High $91.20 | Facility | None | $17.38 | $53.70 | $91.20 |
Blue Shield Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $9.77 | Professional | None | $3.72 | $5.25 | $9.77 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $8.51 Median $11.22 Typical High $12.59 | Professional | None | $8.51 | $11.22 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $21.38 Typical High $46.77 | Facility | None | $7.41 | $21.38 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $8.32 Typical High $26.30 | Professional | None | $4.37 | $8.32 | $26.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.37 Median $15.49 Typical High $15.49 | Professional | None | $5.37 | $15.49 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $14.79 Typical High $37.15 | Professional | None | $11.22 | $14.79 | $37.15 |
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 $7.24 Median $14.13 Typical High $37.15 | Facility | None | $7.24 | $14.13 | $37.15 |
Providence Setting Professional Modifier None Typical Low $4.37 Median $8.13 Typical High $28.18 | Professional | None | $4.37 | $8.13 | $28.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $3.55 Median $6.46 Typical High $32.36 | Professional | None | $3.55 | $6.46 | $32.36 |
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 $3.55 Median $9.12 Typical High $21.88 | Facility | 52 · Reduced service | $3.55 | $9.12 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.41 Median $3.63 Typical High $8.71 | Facility | 53 · Discontinued | $1.41 | $3.63 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.63 Typical High $6.03 | Professional | 52 · Reduced service | $3.16 | $3.63 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.45 Typical High $2.40 | Professional | 53 · Discontinued | $1.26 | $1.45 | $2.40 |
Where California sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 38th of 51
$9.77
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.