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 $25.12 Median $66.07 Typical High $154.88 | Facility | None | $25.12 | $66.07 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | None | $18.20 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $38.90 Typical High $104.71 | Facility | None | $26.30 | $38.90 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $47.86 | Professional | None | $10.72 | $15.14 | $47.86 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $173.78 Typical High $323.59 | Facility | None | $50.12 | $173.78 | $323.59 |
Blue Shield Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $34.67 | Professional | None | $13.18 | $19.05 | $34.67 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $28.18 | Professional | None | $17.38 | $17.38 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $32.36 Typical High $74.13 | Facility | None | $15.14 | $32.36 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $22.91 Typical High $70.79 | Professional | None | $14.13 | $22.91 | $70.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $23.44 | Professional | None | $19.05 | $23.44 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $60.26 | Professional | None | $18.20 | $22.39 | $60.26 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $21.38 | Professional | None | $10.72 | $10.72 | $21.38 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $26.92 Typical High $64.57 | Facility | None | $14.79 | $26.92 | $64.57 |
Providence Setting Professional Modifier None Typical Low $14.13 Median $21.38 Typical High $53.70 | Professional | None | $14.13 | $21.38 | $53.70 |
Sutter Health Plus Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $21.38 | Facility | None | $9.12 | $9.12 | $21.38 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $57.54 | Professional | None | $9.12 | $12.88 | $57.54 |
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 $12.59 Median $32.36 Typical High $77.62 | Facility | 52 · Reduced service | $12.59 | $32.36 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $13.18 Typical High $31.62 | Facility | 53 · Discontinued | $5.01 | $13.18 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $9.12 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $3.63 | $5.13 | $5.13 |
Where California sits
The same service costs 3.0 times more in Alaska than in Texas. 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· 24th of 51
$21.88
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.