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 $26.30 Median $69.18 Typical High $165.96 | Facility | None | $26.30 | $69.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $26.92 | Professional | None | $19.05 | $26.92 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $112.20 | Facility | None | $28.18 | $40.74 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $48.98 | Professional | None | $11.22 | $16.22 | $48.98 |
Blue Shield Setting Facility Modifier None Typical Low $52.48 Median $181.97 Typical High $338.84 | Facility | None | $52.48 | $181.97 | $338.84 |
Blue Shield Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $36.31 | Professional | None | $14.13 | $19.95 | $36.31 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $29.51 | Professional | None | $18.20 | $18.20 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $33.88 Typical High $77.62 | Facility | None | $15.85 | $33.88 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $24.55 Typical High $74.13 | Professional | None | $14.79 | $24.55 | $74.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $25.12 | Professional | None | $19.95 | $25.12 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $60.26 | Professional | None | $18.20 | $23.44 | $60.26 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $22.91 | Professional | None | $11.22 | $11.22 | $22.91 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $29.51 Typical High $79.43 | Facility | None | $18.62 | $29.51 | $79.43 |
Providence Setting Professional Modifier None Typical Low $14.79 Median $22.91 Typical High $57.54 | Professional | None | $14.79 | $22.91 | $57.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $60.26 | Professional | None | $9.55 | $13.49 | $60.26 |
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 $13.18 Median $34.67 Typical High $83.18 | Facility | 52 · Reduced service | $13.18 | $34.67 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $13.80 Typical High $33.11 | Facility | 53 · Discontinued | $5.25 | $13.80 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $9.55 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $3.89 | $5.37 | $5.37 |
Where California sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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· 17th of 51
$25.70
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.