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 $21.88 Median $45.71 Typical High $138.04 | Facility | None | $21.88 | $45.71 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $24.55 | Professional | None | $16.60 | $22.39 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $13.18 | Professional | None | $9.33 | $11.48 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $33.88 Typical High $93.33 | Facility | None | $22.91 | $33.88 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $50.12 | Professional | None | $9.33 | $13.18 | $50.12 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $151.36 Typical High $281.84 | Facility | None | $44.67 | $151.36 | $281.84 |
Blue Shield Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $30.20 | Professional | None | $11.75 | $16.60 | $30.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $24.55 | Professional | None | $15.14 | $15.14 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $28.18 Typical High $64.57 | Facility | None | $13.18 | $28.18 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $61.66 | Professional | None | $12.30 | $19.95 | $61.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $20.89 | Professional | None | $16.60 | $20.89 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $52.48 | Professional | None | $15.85 | $20.89 | $52.48 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $22.39 | Professional | None | $11.22 | $11.22 | $22.39 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $24.55 Typical High $63.10 | Facility | None | $15.49 | $24.55 | $63.10 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $47.86 | Professional | None | $12.30 | $18.62 | $47.86 |
Sutter Health Plus Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $18.62 | Facility | None | $7.94 | $7.94 | $18.62 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $50.12 | Professional | None | $7.94 | $11.22 | $50.12 |
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 $10.96 Median $28.84 Typical High $69.18 | Facility | 52 · Reduced service | $10.96 | $28.84 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $11.48 Typical High $27.54 | Facility | 53 · Discontinued | $4.37 | $11.48 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $7.94 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.16 | $4.47 | $4.47 |
Where California sits
The same service costs 10.0 times more in Vermont than in Maryland. 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· 23rd 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.