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 $10.00 Median $26.30 Typical High $63.10 | Facility | None | $10.00 | $26.30 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $10.23 Typical High $12.02 | Professional | None | $7.76 | $10.23 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $25.12 Typical High $69.18 | Facility | None | $17.38 | $25.12 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $36.31 | Professional | None | $5.62 | $6.76 | $36.31 |
Blue Shield Setting Facility Modifier None Typical Low $25.12 Median $70.79 Typical High $128.82 | Facility | None | $25.12 | $70.79 | $128.82 |
Blue Shield Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $13.80 | Professional | None | $5.37 | $7.59 | $13.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $18.20 | Professional | None | $11.22 | $11.22 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $21.38 Typical High $46.77 | Facility | None | $9.33 | $21.38 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $28.18 | Professional | None | $6.46 | $9.55 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $15.49 | Professional | None | $9.33 | $15.49 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $39.81 | Professional | None | $12.02 | $15.49 | $39.81 |
Molina Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $14.13 | Professional | None | $7.08 | $7.08 | $14.13 |
Providence Setting Facility Modifier None Typical Low $9.12 Median $16.60 Typical High $37.15 | Facility | None | $9.12 | $16.60 | $37.15 |
Providence Setting Professional Modifier None Typical Low $6.46 Median $10.96 Typical High $28.18 | Professional | None | $6.46 | $10.96 | $28.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $33.11 | Professional | None | $5.01 | $6.46 | $33.11 |
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 $5.01 Median $13.18 Typical High $30.90 | Facility | 52 · Reduced service | $5.01 | $13.18 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $5.25 Typical High $12.59 | Facility | 53 · Discontinued | $2.00 | $5.25 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $5.13 Typical High $6.03 | Professional | 52 · Reduced service | $4.57 | $5.13 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.04 Typical High $2.45 | Professional | 53 · Discontinued | $1.82 | $2.04 | $2.45 |
Where California sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 28th of 51
$12.02
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.