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 $10.00 Median $25.70 Typical High $61.66 | Facility | None | $10.00 | $25.70 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $10.00 | Professional | None | $7.24 | $10.00 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $17.78 Typical High $46.77 | Facility | None | $11.75 | $17.78 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $6.03 Typical High $19.05 | Professional | None | $4.17 | $6.03 | $19.05 |
Blue Shield Setting Facility Modifier None Typical Low $22.39 Median $69.18 Typical High $128.82 | Facility | None | $22.39 | $69.18 | $128.82 |
Blue Shield Setting Professional Modifier None Typical Low $5.25 Median $7.41 Typical High $13.49 | Professional | None | $5.25 | $7.41 | $13.49 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $12.30 | Professional | None | $7.59 | $7.59 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $14.45 Typical High $31.62 | Facility | None | $6.31 | $14.45 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $9.12 Typical High $28.18 | Professional | None | $5.50 | $9.12 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $10.47 | Professional | None | $7.59 | $10.47 | $10.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $10.47 Typical High $26.30 | Professional | None | $8.13 | $10.47 | $26.30 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $9.55 | Professional | None | $4.79 | $4.79 | $9.55 |
Providence Setting Facility Modifier None Typical Low $7.08 Median $11.48 Typical High $28.18 | Facility | None | $7.08 | $11.48 | $28.18 |
Providence Setting Professional Modifier None Typical Low $5.50 Median $9.12 Typical High $21.38 | Professional | None | $5.50 | $9.12 | $21.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $9.55 | Facility | None | $3.98 | $3.98 | $9.55 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.62 Typical High $23.44 | Professional | None | $3.98 | $5.62 | $23.44 |
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 $4.90 Median $12.88 Typical High $30.90 | Facility | 52 · Reduced service | $4.90 | $12.88 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $5.13 Typical High $12.30 | Facility | 53 · Discontinued | $2.00 | $5.13 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $3.80 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $1.51 | $2.04 | $2.04 |
Where California sits
The same service costs 4.2 times more in Kansas than in North Carolina. 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· 22nd of 51
$9.55
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.