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 $20.89 Median $54.95 Typical High $131.83 | Facility | None | $20.89 | $54.95 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $21.38 | Professional | None | $15.14 | $20.89 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $35.48 Typical High $97.72 | Facility | None | $24.55 | $35.48 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $40.74 | Professional | None | $8.91 | $12.88 | $40.74 |
Blue Shield Setting Facility Modifier None Typical Low $45.71 Median $144.54 Typical High $275.42 | Facility | None | $45.71 | $144.54 | $275.42 |
Blue Shield Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $28.84 | Professional | None | $11.22 | $15.85 | $28.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $25.70 | Professional | None | $15.85 | $15.85 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $30.20 Typical High $66.07 | Facility | None | $13.18 | $30.20 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $58.88 | Professional | None | $11.75 | $19.50 | $58.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $21.88 | Professional | None | $16.22 | $21.88 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $54.95 | Professional | None | $16.98 | $21.88 | $54.95 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $23.44 | Professional | None | $11.75 | $11.75 | $23.44 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $23.44 Typical High $58.88 | Facility | None | $14.79 | $23.44 | $58.88 |
Providence Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $45.71 | Professional | None | $11.75 | $19.50 | $45.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $19.95 | Facility | None | $8.32 | $8.32 | $19.95 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $50.12 | Professional | None | $8.32 | $11.75 | $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 $10.47 Median $27.54 Typical High $66.07 | Facility | 52 · Reduced service | $10.47 | $27.54 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $10.96 Typical High $26.30 | Facility | 53 · Discontinued | $4.27 | $10.96 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $8.13 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $3.24 | $4.37 | $4.37 |
Where California sits
The same service costs 5.5 times more in Kansas than in Georgia. 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
$19.50
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.