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 $20.89 Median $52.48 Typical High $131.83 | Facility | None | $20.89 | $52.48 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $22.39 | Professional | None | $16.22 | $20.89 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $13.18 | Professional | None | $7.41 | $7.41 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $39.81 Typical High $109.65 | Facility | None | $27.54 | $39.81 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $40.74 | Professional | None | $8.91 | $12.88 | $40.74 |
Blue Shield Setting Facility Modifier None Typical Low $47.86 Median $144.54 Typical High $275.42 | Facility | None | $47.86 | $144.54 | $275.42 |
Blue Shield Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $29.51 | Professional | None | $11.22 | $15.85 | $29.51 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $28.84 | Professional | None | $17.78 | $17.78 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $33.11 Typical High $70.79 | Facility | None | $14.79 | $33.11 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $58.88 | Professional | None | $11.22 | $14.45 | $58.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $24.55 | Professional | None | $17.78 | $24.55 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $61.66 | Professional | None | $19.05 | $24.55 | $61.66 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $26.30 | Professional | None | $13.18 | $13.18 | $26.30 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $26.30 Typical High $60.26 | Facility | None | $16.22 | $26.30 | $60.26 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $45.71 | Professional | None | $12.30 | $20.42 | $45.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $22.39 | Facility | None | $9.33 | $9.33 | $22.39 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $51.29 | Professional | None | $9.33 | $13.18 | $51.29 |
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 $10.47 Median $27.54 Typical High $66.07 | Facility | 52 · Reduced service | $10.47 | $27.54 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $10.96 Typical High $26.30 | Facility | 53 · Discontinued | $4.27 | $10.96 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $8.71 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $3.47 | $4.37 | $4.37 |
Where California sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 30th 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.