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 $20.89 Median $53.70 Typical High $128.82 | Facility | None | $20.89 | $53.70 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $21.38 | Professional | None | $15.14 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $31.62 Typical High $87.10 | Facility | None | $21.88 | $31.62 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $12.59 Typical High $39.81 | Professional | None | $8.71 | $12.59 | $39.81 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $141.25 Typical High $269.15 | Facility | None | $44.67 | $141.25 | $269.15 |
Blue Shield Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $28.18 | Professional | None | $10.96 | $15.85 | $28.18 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $22.91 | Professional | None | $14.13 | $14.13 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $26.92 Typical High $58.88 | Facility | None | $12.30 | $26.92 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $19.05 Typical High $58.88 | Professional | None | $11.48 | $19.05 | $58.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $19.50 | Professional | None | $15.85 | $19.50 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $48.98 | Professional | None | $15.14 | $18.20 | $48.98 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $17.78 | Professional | None | $8.91 | $8.91 | $17.78 |
Providence Setting Facility Modifier None Typical Low $14.13 Median $22.39 Typical High $56.23 | Facility | None | $14.13 | $22.39 | $56.23 |
Providence Setting Professional Modifier None Typical Low $11.48 Median $17.78 Typical High $44.67 | Professional | None | $11.48 | $17.78 | $44.67 |
Sutter Health Plus Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $17.78 | Facility | None | $7.41 | $7.41 | $17.78 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.72 Typical High $47.86 | Professional | None | $7.41 | $10.72 | $47.86 |
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 $10.23 Median $26.92 Typical High $64.57 | Facility | 52 · Reduced service | $10.23 | $26.92 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $10.72 Typical High $25.70 | Facility | 53 · Discontinued | $4.17 | $10.72 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $7.59 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $3.02 | $4.27 | $4.27 |
Where California sits
The same service costs 3.6 times more in Kansas than in Oklahoma. 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
$18.20
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.