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 $14.45 Median $29.51 Typical High $89.13 | Facility | None | $14.45 | $29.51 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $23.99 | Professional | None | $12.02 | $14.79 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $27.54 | Professional | None | $8.71 | $10.47 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $30.90 Typical High $85.11 | Facility | None | $21.38 | $30.90 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $7.24 Typical High $22.39 | Professional | None | $6.92 | $7.24 | $22.39 |
Blue Shield Setting Facility Modifier None Typical Low $34.67 Median $100.00 Typical High $186.21 | Facility | None | $34.67 | $100.00 | $186.21 |
Blue Shield Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $16.22 | Professional | None | $7.94 | $11.22 | $16.22 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $22.39 | Professional | None | $13.80 | $13.80 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $22.91 Typical High $57.54 | Facility | None | $11.48 | $22.91 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $20.89 Typical High $26.30 | Professional | None | $9.55 | $20.89 | $26.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $19.05 | Professional | None | $17.38 | $19.05 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $47.86 | Professional | None | $14.79 | $19.05 | $47.86 |
Lucent Health Setting Professional Modifier None Typical Low $14.45 Median $15.49 Typical High $21.38 | Professional | None | $14.45 | $15.49 | $21.38 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Providence Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $45.71 | Facility | None | $11.48 | $19.95 | $45.71 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $17.38 Typical High $34.67 | Professional | None | $9.77 | $17.38 | $34.67 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $17.38 | Facility | None | $7.24 | $7.24 | $17.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $39.81 | Professional | None | $7.24 | $10.47 | $39.81 |
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 $6.46 Median $18.62 Typical High $44.67 | Facility | 52 · Reduced service | $6.46 | $18.62 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $7.41 Typical High $17.78 | Facility | 53 · Discontinued | $2.57 | $7.41 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $6.03 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.40 | $2.95 | $2.95 |
Where California sits
The same service costs 4.0 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· 44th of 51
$13.18
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.