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 $10.72 Median $28.18 Typical High $67.61 | Facility | None | $10.72 | $28.18 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $10.72 Typical High $10.96 | Professional | None | $7.08 | $10.72 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.46 | Professional | None | $6.17 | $6.17 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $16.60 Typical High $45.71 | Facility | None | $11.48 | $16.60 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $6.46 Typical High $26.30 | Professional | None | $4.57 | $6.46 | $26.30 |
Blue Shield Setting Facility Modifier None Typical Low $23.99 Median $75.86 Typical High $138.04 | Facility | None | $23.99 | $75.86 | $138.04 |
Blue Shield Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $14.79 | Professional | None | $5.75 | $8.13 | $14.79 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $12.02 | Professional | None | $7.41 | $7.41 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $13.80 Typical High $31.62 | Facility | None | $6.46 | $13.80 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $30.90 | Professional | None | $5.89 | $10.00 | $30.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.13 Median $10.23 Typical High $10.23 | Professional | None | $8.13 | $10.23 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.76 Median $10.23 Typical High $24.55 | Professional | None | $7.76 | $10.23 | $24.55 |
Molina Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $10.96 | Professional | None | $5.50 | $5.50 | $10.96 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $12.02 Typical High $30.20 | Facility | None | $7.59 | $12.02 | $30.20 |
Providence Setting Professional Modifier None Typical Low $5.89 Median $9.12 Typical High $23.44 | Professional | None | $5.89 | $9.12 | $23.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.50 Typical High $24.55 | Professional | None | $3.89 | $5.50 | $24.55 |
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 $5.37 Median $14.13 Typical High $33.88 | Facility | 52 · Reduced service | $5.37 | $14.13 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $5.62 Typical High $13.49 | Facility | 53 · Discontinued | $2.14 | $5.62 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $5.50 Typical High $5.50 | Professional | 52 · Reduced service | $3.89 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $1.58 | $2.19 | $2.19 |
Where California sits
The same service costs 3.6 times more in Kansas than in Maryland. 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· 17th of 51
$10.47
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.