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 $9.33 Median $21.88 Typical High $58.88 | Facility | None | $9.33 | $21.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $9.33 Typical High $9.55 | Professional | None | $4.68 | $9.33 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $3.98 Median $4.90 Typical High $5.62 | Professional | None | $3.98 | $4.90 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $14.45 Typical High $39.81 | Facility | None | $9.77 | $14.45 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $5.75 Typical High $72.44 | Professional | None | $3.98 | $5.75 | $72.44 |
Blue Shield Setting Facility Modifier None Typical Low $20.89 Median $66.07 Typical High $120.23 | Facility | None | $20.89 | $66.07 | $120.23 |
Blue Shield Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $12.88 | Professional | None | $5.01 | $7.08 | $12.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $10.47 | Professional | None | $6.46 | $6.46 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $12.02 Typical High $27.54 | Facility | None | $5.62 | $12.02 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $26.30 | Professional | None | $5.25 | $8.71 | $26.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $8.91 | Professional | None | $7.08 | $8.91 | $8.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.76 Median $8.91 Typical High $22.39 | Professional | None | $6.76 | $8.91 | $22.39 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $9.55 | Professional | None | $4.79 | $4.79 | $9.55 |
Providence Setting Facility Modifier None Typical Low $6.61 Median $10.23 Typical High $43.65 | Facility | None | $6.61 | $10.23 | $43.65 |
Providence Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $21.38 | Professional | None | $5.25 | $7.94 | $21.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
United Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $7.94 | Facility | None | $3.39 | $3.39 | $7.94 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $21.38 | Professional | None | $3.39 | $4.79 | $21.38 |
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 $4.68 Median $12.30 Typical High $29.51 | Facility | 52 · Reduced service | $4.68 | $12.30 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.86 Median $4.90 Typical High $11.75 | Facility | 53 · Discontinued | $1.86 | $4.90 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $3.24 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.29 | $1.91 | $1.91 |
Where California sits
The same service costs 3.6 times more in Alaska 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· 22nd of 51
$8.13
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.