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 $23.44 Median $57.54 Typical High $144.54 | Facility | None | $23.44 | $57.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $25.70 | Professional | None | $18.20 | $23.99 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $50.12 Typical High $138.04 | Facility | None | $34.67 | $50.12 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $36.31 | Professional | None | $11.22 | $14.13 | $36.31 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $158.49 Typical High $302.00 | Facility | None | $50.12 | $158.49 | $302.00 |
Blue Shield Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $28.84 | Professional | None | $12.59 | $18.20 | $28.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | None | $22.39 | $22.39 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $42.66 Typical High $93.33 | Facility | None | $18.62 | $42.66 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $23.44 Typical High $64.57 | Professional | None | $14.79 | $23.44 | $64.57 |
Contra Costa Health Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $30.90 | Professional | None | $22.39 | $30.90 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $77.62 | Professional | None | $23.99 | $30.90 | $77.62 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $33.11 Typical High $74.13 | Facility | None | $18.62 | $33.11 | $74.13 |
Providence Setting Professional Modifier None Typical Low $14.79 Median $25.12 Typical High $58.88 | Professional | None | $14.79 | $25.12 | $58.88 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $28.18 | Facility | None | $11.75 | $11.75 | $28.18 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $64.57 | Professional | None | $11.75 | $16.60 | $64.57 |
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 $11.48 Median $28.84 Typical High $72.44 | Facility | 52 · Reduced service | $11.48 | $28.84 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $11.48 Typical High $28.84 | Facility | 53 · Discontinued | $4.68 | $11.48 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $11.75 Typical High $12.02 | Professional | 52 · Reduced service | $10.47 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.17 | $4.79 | $4.79 |
Where California sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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· 40th of 51
$21.88
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.