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 $18.62 Median $44.67 Typical High $134.90 | Facility | None | $18.62 | $44.67 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $27.54 | Professional | None | $15.85 | $15.85 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $102.33 | Facility | None | $25.70 | $37.15 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $38.02 | Professional | None | $9.33 | $12.88 | $38.02 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $151.36 Typical High $281.84 | Facility | None | $48.98 | $151.36 | $281.84 |
Blue Shield Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $21.38 | Professional | None | $8.13 | $11.48 | $21.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $22.91 | Professional | None | $16.60 | $16.60 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $31.62 Typical High $69.18 | Facility | None | $14.13 | $31.62 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $61.66 | Professional | None | $12.30 | $19.95 | $61.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.02 Median $22.91 Typical High $22.91 | Professional | None | $12.02 | $22.91 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $58.88 | Professional | None | $16.60 | $21.88 | $58.88 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $20.89 | Professional | None | $10.47 | $10.47 | $20.89 |
Providence Setting Facility Modifier None Typical Low $15.85 Median $25.70 Typical High $64.57 | Facility | None | $15.85 | $25.70 | $64.57 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $47.86 | Professional | None | $12.30 | $19.95 | $47.86 |
Sutter Health Plus Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.59 Typical High $52.48 | Professional | None | $8.71 | $12.59 | $52.48 |
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 $9.33 Median $22.39 Typical High $67.61 | Facility | 52 · Reduced service | $9.33 | $22.39 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $9.12 Typical High $26.92 | Facility | 53 · Discontinued | $3.72 | $9.12 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $10.96 | Professional | 52 · Reduced service | $7.76 | $7.76 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $4.37 | Professional | 53 · Discontinued | $3.16 | $3.16 | $4.37 |
Where California sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 28th of 51
$19.95
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.