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 $47.86 Typical High $114.82 | Facility | None | $18.62 | $47.86 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $19.05 | Professional | None | $13.80 | $19.05 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $35.48 Typical High $97.72 | Facility | None | $24.55 | $35.48 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $12.02 Typical High $35.48 | Professional | None | $7.94 | $12.02 | $35.48 |
Blue Shield Setting Facility Modifier None Typical Low $43.65 Median $125.89 Typical High $239.88 | Facility | None | $43.65 | $125.89 | $239.88 |
Blue Shield Setting Professional Modifier None Typical Low $9.77 Median $14.13 Typical High $25.70 | Professional | None | $9.77 | $14.13 | $25.70 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $25.70 | Professional | None | $15.85 | $15.85 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $30.20 Typical High $66.07 | Facility | None | $13.18 | $30.20 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $17.38 Typical High $52.48 | Professional | None | $10.72 | $17.38 | $52.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $15.85 Median $21.88 Typical High $21.88 | Professional | None | $15.85 | $21.88 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $54.95 | Professional | None | $16.98 | $20.42 | $54.95 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $19.95 | Professional | None | $10.00 | $10.00 | $19.95 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $58.88 | Facility | None | $14.45 | $23.99 | $58.88 |
Providence Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $40.74 | Professional | None | $10.96 | $18.20 | $40.74 |
Sutter Health Plus Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $19.95 | Facility | None | $8.32 | $8.32 | $19.95 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $45.71 | Professional | None | $8.32 | $12.02 | $45.71 |
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 $23.99 Typical High $57.54 | Facility | 52 · Reduced service | $9.33 | $23.99 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $9.77 Typical High $23.44 | Facility | 53 · Discontinued | $3.72 | $9.77 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $7.59 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.02 | $3.80 | $3.80 |
Where California sits
The same service costs 3.8 times more in Kansas than in Delaware. 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· 27th of 51
$18.62
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.