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 $9.12 Median $23.99 Typical High $57.54 | Facility | None | $9.12 | $23.99 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $9.33 | Professional | None | $6.03 | $9.12 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $14.13 Typical High $38.90 | Facility | None | $9.77 | $14.13 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $18.20 | Professional | None | $3.89 | $5.62 | $18.20 |
Blue Shield Setting Facility Modifier None Typical Low $20.42 Median $66.07 Typical High $120.23 | Facility | None | $20.42 | $66.07 | $120.23 |
Blue Shield Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $12.59 | Professional | None | $4.90 | $6.92 | $12.59 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $10.23 | Professional | None | $6.31 | $6.31 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $12.02 Typical High $26.30 | Facility | None | $5.50 | $12.02 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $8.51 Typical High $25.70 | Professional | None | $5.13 | $8.51 | $25.70 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.08 Median $8.71 Typical High $8.71 | Professional | None | $7.08 | $8.71 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $21.88 | Professional | None | $6.76 | $8.13 | $21.88 |
Molina Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $9.33 | Professional | None | $4.68 | $4.68 | $9.33 |
Providence Setting Facility Modifier None Typical Low $6.46 Median $10.00 Typical High $25.70 | Facility | None | $6.46 | $10.00 | $25.70 |
Providence Setting Professional Modifier None Typical Low $5.13 Median $7.94 Typical High $19.95 | Professional | None | $5.13 | $7.94 | $19.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $3.31 Median $4.79 Typical High $20.89 | Professional | None | $3.31 | $4.79 | $20.89 |
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 $4.57 Median $12.02 Typical High $28.84 | Facility | 52 · Reduced service | $4.57 | $12.02 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $4.79 Typical High $11.48 | Facility | 53 · Discontinued | $1.82 | $4.79 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $3.39 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.35 | $1.91 | $1.91 |
Where California sits
The same service costs 4.1 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· 18th of 51
$8.91
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.