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 $15.49 Median $40.74 Typical High $97.72 | Facility | None | $15.49 | $40.74 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $16.22 | Professional | None | $10.96 | $15.85 | $16.22 |
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 $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 $7.59 Median $10.47 Typical High $30.20 | Professional | None | $7.59 | $10.47 | $30.20 |
Blue Shield Setting Facility Modifier None Typical Low $38.02 Median $107.15 Typical High $199.53 | Facility | None | $38.02 | $107.15 | $199.53 |
Blue Shield Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $21.88 | Professional | None | $8.32 | $11.75 | $21.88 |
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 $12.59 Median $28.18 Typical High $63.10 | Facility | None | $12.59 | $28.18 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $44.67 | Professional | None | $9.77 | $14.45 | $44.67 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $20.42 | Professional | None | $14.45 | $20.42 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $50.12 | Professional | None | $15.85 | $20.42 | $50.12 |
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 $13.18 Median $22.39 Typical High $48.98 | Facility | None | $13.18 | $22.39 | $48.98 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $16.98 Typical High $37.15 | Professional | None | $9.77 | $16.98 | $37.15 |
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 $7.76 Median $11.22 Typical High $43.65 | Professional | None | $7.76 | $11.22 | $43.65 |
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 $7.76 Median $20.42 Typical High $48.98 | Facility | 52 · Reduced service | $7.76 | $20.42 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $8.13 Typical High $19.50 | Facility | 53 · Discontinued | $3.09 | $8.13 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.94 Typical High $8.13 | Professional | 52 · Reduced service | $7.08 | $7.94 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.16 Typical High $3.24 | Professional | 53 · Discontinued | $2.82 | $3.16 | $3.24 |
Where California sits
The same service costs 3.6 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· 29th of 51
$15.85
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.