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 $2.75 Median $7.24 Typical High $17.38 | Facility | None | $2.75 | $7.24 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $3.09 Typical High $5.62 | Professional | None | $2.75 | $3.09 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $7.24 Typical High $19.95 | Facility | None | $4.90 | $7.24 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.66 Median $2.40 Typical High $5.75 | Professional | None | $1.66 | $2.40 | $5.75 |
Blue Shield Setting Facility Modifier None Typical Low $6.92 Median $21.88 Typical High $42.66 | Facility | None | $6.92 | $21.88 | $42.66 |
Blue Shield Setting Professional Modifier None Typical Low $1.45 Median $2.09 Typical High $3.89 | Professional | None | $1.45 | $2.09 | $3.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $4.90 | Professional | None | $3.24 | $3.24 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $6.03 Typical High $13.49 | Facility | None | $2.63 | $6.03 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $3.98 Typical High $7.94 | Professional | None | $1.86 | $3.98 | $7.94 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.57 Median $4.37 Typical High $4.37 | Professional | None | $2.57 | $4.37 | $4.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.24 Median $4.17 Typical High $10.72 | Professional | None | $3.24 | $4.17 | $10.72 |
Molina Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $4.79 | Professional | None | $2.40 | $2.40 | $4.79 |
Providence Setting Facility Modifier None Typical Low $2.82 Median $4.79 Typical High $10.96 | Facility | None | $2.82 | $4.79 | $10.96 |
Providence Setting Professional Modifier None Typical Low $1.86 Median $3.39 Typical High $7.94 | Professional | None | $1.86 | $3.39 | $7.94 |
Sutter Health Plus Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Facility Modifier None Typical Low $1.70 Median $1.70 Typical High $3.98 | Facility | None | $1.70 | $1.70 | $3.98 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.57 Typical High $9.33 | Professional | None | $2.00 | $2.57 | $9.33 |
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 $1.38 Median $3.63 Typical High $8.71 | Facility | 52 · Reduced service | $1.38 | $3.63 | $8.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.55 Median $1.45 Typical High $3.47 | Facility | 53 · Discontinued | $0.55 | $1.45 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.26 Median $1.41 Typical High $1.74 | Professional | 52 · Reduced service | $1.26 | $1.41 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.50 Median $0.56 Typical High $0.69 | Professional | 53 · Discontinued | $0.50 | $0.56 | $0.69 |
Where California sits
The same service costs 3.3 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· 44th of 51
$3.09
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.