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 $9.77 Median $23.44 Typical High $61.66 | Facility | None | $9.77 | $23.44 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $12.02 | Professional | None | $8.91 | $9.77 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $20.89 Typical High $57.54 | Facility | None | $14.45 | $20.89 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $6.61 Typical High $19.05 | Professional | None | $4.68 | $6.61 | $19.05 |
Blue Shield Setting Facility Modifier None Typical Low $23.99 Median $69.18 Typical High $125.89 | Facility | None | $23.99 | $69.18 | $125.89 |
Blue Shield Setting Professional Modifier None Typical Low $5.25 Median $7.41 Typical High $13.80 | Professional | None | $5.25 | $7.41 | $13.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $15.14 | Professional | None | $9.33 | $9.33 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.78 Typical High $38.90 | Facility | None | $7.94 | $17.78 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $27.54 | Professional | None | $6.17 | $9.12 | $27.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $12.88 | Professional | None | $7.94 | $12.88 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $31.62 | Professional | None | $9.33 | $12.30 | $31.62 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $11.75 | Professional | None | $5.89 | $5.89 | $11.75 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $14.13 Typical High $30.90 | Facility | None | $7.59 | $14.13 | $30.90 |
Providence Setting Professional Modifier None Typical Low $6.17 Median $10.47 Typical High $23.44 | Professional | None | $6.17 | $10.47 | $23.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.31 Typical High $26.92 | Professional | None | $4.90 | $6.31 | $26.92 |
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 $4.90 Median $12.88 Typical High $30.20 | Facility | 52 · Reduced service | $4.90 | $12.88 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.95 Median $5.13 Typical High $12.30 | Facility | 53 · Discontinued | $1.95 | $5.13 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $4.47 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.00 Typical High $2.04 | Professional | 53 · Discontinued | $1.78 | $2.00 | $2.04 |
Where California sits
The same service costs 3.4 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
$10.47
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.