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 $19.95 Median $52.48 Typical High $125.89 | Facility | None | $19.95 | $52.48 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | None | $17.38 | $20.42 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $112.20 | Facility | None | $28.18 | $40.74 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $38.90 | Professional | None | $9.12 | $12.88 | $38.90 |
Blue Shield Setting Facility Modifier None Typical Low $45.71 Median $138.04 Typical High $263.03 | Facility | None | $45.71 | $138.04 | $263.03 |
Blue Shield Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $28.18 | Professional | None | $10.72 | $15.14 | $28.18 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $30.20 | Professional | None | $18.20 | $18.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $34.67 Typical High $75.86 | Facility | None | $15.49 | $34.67 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $57.54 | Professional | None | $12.30 | $18.62 | $57.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $25.12 | Professional | None | $18.20 | $25.12 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $61.66 | Professional | None | $19.50 | $25.12 | $61.66 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $27.54 | Professional | None | $13.80 | $13.80 | $27.54 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $27.54 Typical High $60.26 | Facility | None | $14.79 | $27.54 | $60.26 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $20.89 Typical High $46.77 | Professional | None | $12.30 | $20.89 | $46.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
United Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $22.91 | Facility | None | $9.55 | $9.55 | $22.91 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $53.70 | Professional | None | $9.55 | $13.80 | $53.70 |
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 $10.00 Median $26.30 Typical High $63.10 | Facility | 52 · Reduced service | $10.00 | $26.30 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $10.47 Typical High $25.12 | Facility | 53 · Discontinued | $3.98 | $10.47 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $8.71 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.47 | $4.07 | $4.07 |
Where California sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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· 27th 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.