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 $14.79 Median $38.90 Typical High $91.20 | Facility | None | $14.79 | $38.90 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $35.48 | Professional | None | $13.49 | $15.14 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $27.54 | Professional | None | $26.30 | $26.92 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $79.43 Typical High $218.78 | Facility | None | $54.95 | $79.43 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $56.23 | Professional | None | $14.45 | $17.78 | $56.23 |
Blue Shield Setting Facility Modifier None Typical Low $46.77 Median $120.23 Typical High $199.53 | Facility | None | $46.77 | $120.23 | $199.53 |
Blue Shield Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $26.92 | Professional | None | $13.49 | $19.50 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $75.86 Typical High $141.25 | Facility | None | $28.84 | $75.86 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $23.99 Typical High $69.18 | Professional | None | $9.55 | $23.99 | $69.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $48.98 | Professional | None | $44.67 | $48.98 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $117.49 | Professional | None | $35.48 | $45.71 | $117.49 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $53.70 | Professional | None | $26.30 | $26.30 | $53.70 |
Providence Setting Facility Modifier None Typical Low $20.42 Median $51.29 Typical High $123.03 | Facility | None | $20.42 | $51.29 | $123.03 |
Providence Setting Professional Modifier None Typical Low $9.55 Median $24.55 Typical High $89.13 | Professional | None | $9.55 | $24.55 | $89.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $44.67 | Facility | None | $18.62 | $18.62 | $44.67 |
United Setting Professional Modifier None Typical Low $7.41 Median $18.62 Typical High $102.33 | Professional | None | $7.41 | $18.62 | $102.33 |
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 $7.41 Median $19.05 Typical High $45.71 | Facility | 52 · Reduced service | $7.41 | $19.05 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.95 Median $7.76 Typical High $18.62 | Facility | 53 · Discontinued | $2.95 | $7.76 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $7.59 Typical High $17.78 | Professional | 52 · Reduced service | $6.61 | $7.59 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.02 Typical High $7.08 | Professional | 53 · Discontinued | $2.69 | $3.02 | $7.08 |
Where California sits
The same service costs 5.4 times more in Alaska 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· 49th of 51
$23.99
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.