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 $10.96 Median $25.70 Typical High $69.18 | Facility | None | $10.96 | $25.70 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $13.18 | Professional | None | $8.13 | $11.22 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $5.75 Typical High $15.14 | Professional | None | $3.16 | $5.75 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $16.98 Typical High $46.77 | Facility | None | $11.75 | $16.98 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $22.91 | Professional | None | $4.68 | $6.76 | $22.91 |
Blue Shield Setting Facility Modifier None Typical Low $24.55 Median $77.62 Typical High $141.25 | Facility | None | $24.55 | $77.62 | $141.25 |
Blue Shield Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $15.14 | Professional | None | $5.89 | $8.32 | $15.14 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $12.30 | Professional | None | $7.59 | $7.59 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $14.45 Typical High $31.62 | Facility | None | $6.61 | $14.45 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $10.23 Typical High $31.62 | Professional | None | $6.17 | $10.23 | $31.62 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $10.47 | Professional | None | $8.32 | $10.47 | $10.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.94 Median $10.47 Typical High $26.30 | Professional | None | $7.94 | $10.47 | $26.30 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Providence Setting Facility Modifier None Typical Low $7.76 Median $11.75 Typical High $31.62 | Facility | None | $7.76 | $11.75 | $31.62 |
Providence Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $23.99 | Professional | None | $6.17 | $9.55 | $23.99 |
Sutter Health Plus Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
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 $3.98 Median $5.62 Typical High $25.12 | Professional | None | $3.98 | $5.62 | $25.12 |
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 $5.50 Median $14.45 Typical High $34.67 | Facility | 52 · Reduced service | $5.50 | $14.45 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $5.75 Typical High $13.80 | Facility | 53 · Discontinued | $2.19 | $5.75 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $3.98 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $1.62 | $2.24 | $2.24 |
Where California sits
The same service costs 3.2 times more in Kansas 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· 15th of 51
$10.96
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.