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 $20.42 Median $47.86 Typical High $123.03 | Facility | None | $20.42 | $47.86 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $20.89 | Professional | None | $12.30 | $20.42 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.72 | Professional | None | $8.91 | $8.91 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $31.62 Typical High $87.10 | Facility | None | $21.88 | $31.62 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $38.90 | Professional | None | $8.51 | $12.30 | $38.90 |
Blue Shield Setting Facility Modifier None Typical Low $43.65 Median $138.04 Typical High $263.03 | Facility | None | $43.65 | $138.04 | $263.03 |
Blue Shield Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $27.54 | Professional | None | $10.72 | $15.49 | $27.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $22.91 | Professional | None | $14.13 | $14.13 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $26.92 Typical High $60.26 | Facility | None | $12.30 | $26.92 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $57.54 | Professional | None | $11.22 | $18.62 | $57.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.48 Median $19.50 Typical High $19.50 | Professional | None | $11.48 | $19.50 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $46.77 | Professional | None | $14.13 | $18.20 | $46.77 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $21.38 | Professional | None | $10.47 | $10.47 | $21.38 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $21.88 Typical High $52.48 | Facility | None | $14.45 | $21.88 | $52.48 |
Providence Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $43.65 | Professional | None | $11.22 | $17.78 | $43.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $17.78 | Facility | None | $7.41 | $7.41 | $17.78 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $47.86 | Professional | None | $7.41 | $10.47 | $47.86 |
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 $4.07 Median $10.47 Typical High $25.12 | Facility | 53 · Discontinued | $4.07 | $10.47 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $7.41 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.02 | $4.17 | $4.17 |
Where California sits
The same service costs 3.1 times more in Kansas than in Maryland. 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· 26th of 51
$17.78
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.