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 $29.51 Median $75.86 Typical High $181.97 | Facility | None | $29.51 | $75.86 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $30.20 | Professional | None | $22.91 | $30.20 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $144.54 | Facility | None | $35.48 | $52.48 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $56.23 | Professional | None | $12.30 | $17.78 | $56.23 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $199.53 Typical High $380.19 | Facility | None | $57.54 | $199.53 | $380.19 |
Blue Shield Setting Professional Modifier None Typical Low $15.49 Median $22.39 Typical High $39.81 | Professional | None | $15.49 | $22.39 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $38.02 | Professional | None | $23.44 | $23.44 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $43.65 Typical High $97.72 | Facility | None | $19.50 | $43.65 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $83.18 | Professional | None | $16.22 | $26.92 | $83.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $32.36 | Professional | None | $23.44 | $32.36 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $81.28 | Professional | None | $24.55 | $30.20 | $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 $21.88 Median $34.67 Typical High $85.11 | Facility | None | $21.88 | $34.67 | $85.11 |
Providence Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $63.10 | Professional | None | $17.38 | $26.92 | $63.10 |
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 $12.30 Median $12.30 Typical High $28.84 | Facility | None | $12.30 | $12.30 | $28.84 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $69.18 | Professional | None | $12.30 | $17.38 | $69.18 |
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 $14.79 Median $38.02 Typical High $91.20 | Facility | 52 · Reduced service | $14.79 | $38.02 | $91.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $15.14 Typical High $36.31 | Facility | 53 · Discontinued | $5.89 | $15.14 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $11.22 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $4.57 | $6.03 | $6.03 |
Where California sits
The same service costs 3.5 times more in Alaska 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· 26th of 51
$28.18
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.