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 $10.23 Median $25.12 Typical High $63.10 | Facility | None | $10.23 | $25.12 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $11.22 | Professional | None | $8.32 | $10.47 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $47.86 | Facility | None | $12.02 | $18.62 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $6.17 Typical High $19.50 | Professional | None | $4.27 | $6.17 | $19.50 |
Blue Shield Setting Facility Modifier None Typical Low $22.91 Median $72.44 Typical High $131.83 | Facility | None | $22.91 | $72.44 | $131.83 |
Blue Shield Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $13.80 | Professional | None | $5.37 | $7.76 | $13.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $12.59 | Professional | None | $7.76 | $7.76 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $14.79 Typical High $32.36 | Facility | None | $6.61 | $14.79 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $11.22 Typical High $28.84 | Professional | None | $6.46 | $11.22 | $28.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $10.72 | Professional | None | $7.76 | $10.72 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.94 Median $10.23 Typical High $26.30 | Professional | None | $7.94 | $10.23 | $26.30 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $9.77 | Professional | None | $4.90 | $4.90 | $9.77 |
Providence Setting Facility Modifier None Typical Low $6.31 Median $12.02 Typical High $30.20 | Facility | None | $6.31 | $12.02 | $30.20 |
Providence Setting Professional Modifier None Typical Low $6.46 Median $10.23 Typical High $21.88 | Professional | None | $6.46 | $10.23 | $21.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
United Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $9.77 | Facility | None | $4.07 | $4.07 | $9.77 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $23.99 | Professional | None | $4.07 | $5.89 | $23.99 |
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 $5.13 Median $13.18 Typical High $31.62 | Facility | 52 · Reduced service | $5.13 | $13.18 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $5.37 Typical High $12.59 | Facility | 53 · Discontinued | $2.04 | $5.37 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $3.89 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $2.09 Typical High $2.09 | Professional | 53 · Discontinued | $1.58 | $2.09 | $2.09 |
Where California sits
The same service costs 4.1 times more in Kansas 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· 26th of 51
$10.00
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.