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 $25.12 Median $64.57 Typical High $154.88 | Facility | None | $25.12 | $64.57 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $25.70 Typical High $50.12 | Professional | None | $22.39 | $25.70 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $134.90 Typical High $371.54 | Facility | None | $93.33 | $134.90 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $128.82 | Professional | None | $23.44 | $30.20 | $128.82 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $204.17 Typical High $338.84 | Facility | None | $67.61 | $204.17 | $338.84 |
Blue Shield Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $54.95 | Professional | None | $13.49 | $19.50 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $131.83 Typical High $245.47 | Facility | None | $48.98 | $131.83 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $44.67 Typical High $269.15 | Professional | None | $16.22 | $44.67 | $269.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $91.20 | Professional | None | $75.86 | $83.18 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $204.17 | Professional | None | $67.61 | $83.18 | $204.17 |
Lucent Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $562.34 | Professional | None | $380.19 | $380.19 | $562.34 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $91.20 | Professional | None | $45.71 | $45.71 | $91.20 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $87.10 Typical High $208.93 | Facility | None | $35.48 | $87.10 | $208.93 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $50.12 Typical High $269.15 | Professional | None | $16.22 | $50.12 | $269.15 |
Sutter Health Plus Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $75.86 | Facility | None | $31.62 | $31.62 | $75.86 |
United Setting Professional Modifier None Typical Low $12.59 Median $33.88 Typical High $295.12 | Professional | None | $12.59 | $33.88 | $295.12 |
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 $12.30 Median $32.36 Typical High $77.62 | Facility | 52 · Reduced service | $12.30 | $32.36 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $12.88 Typical High $30.90 | Facility | 53 · Discontinued | $5.01 | $12.88 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $12.59 Typical High $25.12 | Professional | 52 · Reduced service | $11.22 | $12.59 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.13 Typical High $10.23 | Professional | 53 · Discontinued | $4.47 | $5.13 | $10.23 |
Where California sits
The same service costs 6.0 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· 34th of 51
$45.71
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.