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 $54.95 Typical High $131.83 | Facility | None | $20.89 | $54.95 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $38.02 | Professional | None | $19.05 | $21.38 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $79.43 Typical High $218.78 | Facility | None | $53.70 | $79.43 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $57.54 | Professional | None | $14.13 | $17.78 | $57.54 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $144.54 Typical High $275.42 | Facility | None | $48.98 | $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 $35.48 Median $35.48 Typical High $45.71 | Professional | None | $35.48 | $35.48 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $66.07 Typical High $141.25 | Facility | None | $22.39 | $66.07 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $25.70 Typical High $81.28 | Professional | None | $13.49 | $25.70 | $81.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.50 Median $48.98 Typical High $48.98 | Professional | None | $19.50 | $48.98 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $120.23 | Professional | None | $35.48 | $45.71 | $120.23 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $43.65 | Professional | None | $21.88 | $21.88 | $43.65 |
Providence Setting Facility Modifier None Typical Low $21.88 Median $45.71 Typical High $114.82 | Facility | None | $21.88 | $45.71 | $114.82 |
Providence Setting Professional Modifier None Typical Low $13.49 Median $24.55 Typical High $87.10 | Professional | None | $13.49 | $24.55 | $87.10 |
Sutter Health Plus Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $43.65 | Facility | None | $18.62 | $18.62 | $43.65 |
United Setting Professional Modifier None Typical Low $10.72 Median $19.95 Typical High $102.33 | Professional | None | $10.72 | $19.95 | $102.33 |
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 $9.55 Median $10.72 Typical High $19.05 | Professional | 52 · Reduced service | $9.55 | $10.72 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.37 Typical High $7.59 | Professional | 53 · Discontinued | $3.80 | $4.37 | $7.59 |
Where California sits
The same service costs 5.6 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· 43rd of 51
$26.92
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.