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 $17.38 Median $45.71 Typical High $109.65 | Facility | None | $17.38 | $45.71 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $17.38 Typical High $17.78 | Professional | None | $10.72 | $17.38 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $26.92 Typical High $74.13 | Facility | None | $18.20 | $26.92 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $33.88 | Professional | None | $7.41 | $10.47 | $33.88 |
Blue Shield Setting Facility Modifier None Typical Low $38.02 Median $120.23 Typical High $223.87 | Facility | None | $38.02 | $120.23 | $223.87 |
Blue Shield Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $23.99 | Professional | None | $9.33 | $13.18 | $23.99 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $19.50 | Professional | None | $12.02 | $12.02 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $22.39 Typical High $51.29 | Facility | None | $10.47 | $22.39 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $48.98 | Professional | None | $9.77 | $16.22 | $48.98 |
Contra Costa Health Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | None | $13.18 | $16.22 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $15.49 Typical High $39.81 | Professional | None | $12.59 | $15.49 | $39.81 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $14.79 | Professional | None | $7.41 | $7.41 | $14.79 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $19.50 Typical High $48.98 | Facility | None | $12.30 | $19.50 | $48.98 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $14.79 Typical High $38.02 | Professional | None | $9.77 | $14.79 | $38.02 |
Sutter Health Plus Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
United Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $14.79 | Facility | None | $6.31 | $6.31 | $14.79 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $39.81 | Professional | None | $6.31 | $8.91 | $39.81 |
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 $8.71 Median $22.91 Typical High $53.70 | Facility | 52 · Reduced service | $8.71 | $22.91 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $9.12 Typical High $21.88 | Facility | 53 · Discontinued | $3.47 | $9.12 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $6.03 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $2.40 | $3.55 | $3.55 |
Where California sits
The same service costs 4.2 times more in Kansas than in New Jersey. 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· 25th of 51
$15.14
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.