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 $23.99 Median $63.10 Typical High $151.36 | Facility | None | $23.99 | $63.10 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $23.99 Typical High $24.55 | Professional | None | $15.85 | $23.99 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $102.33 | Facility | None | $25.70 | $37.15 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $40.74 | Professional | None | $10.23 | $14.13 | $40.74 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $165.96 Typical High $309.03 | Facility | None | $48.98 | $165.96 | $309.03 |
Blue Shield Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $33.11 | Professional | None | $12.88 | $18.20 | $33.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $26.92 | Professional | None | $16.60 | $16.60 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $30.90 Typical High $69.18 | Facility | None | $14.45 | $30.90 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $67.61 | Professional | None | $13.49 | $22.39 | $67.61 |
Contra Costa Health Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $22.91 | Professional | None | $18.20 | $22.91 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $57.54 | Professional | None | $17.38 | $21.38 | $57.54 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $20.42 | Professional | None | $10.23 | $10.23 | $20.42 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $26.92 Typical High $67.61 | Facility | None | $15.49 | $26.92 | $67.61 |
Providence Setting Professional Modifier None Typical Low $13.49 Median $20.42 Typical High $52.48 | Professional | None | $13.49 | $20.42 | $52.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $20.42 | Facility | None | $8.71 | $8.71 | $20.42 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $54.95 | Professional | None | $8.71 | $12.30 | $54.95 |
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 $12.02 Median $31.62 Typical High $75.86 | Facility | 52 · Reduced service | $12.02 | $31.62 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $12.59 Typical High $30.20 | Facility | 53 · Discontinued | $4.79 | $12.59 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $8.71 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $3.55 | $4.90 | $4.90 |
Where California sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 25th of 51
$20.42
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.