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 $30.90 Median $79.43 Typical High $190.55 | Facility | None | $30.90 | $79.43 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $31.62 Typical High $31.62 | Professional | None | $22.91 | $31.62 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $141.25 | Facility | None | $35.48 | $51.29 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $58.88 | Professional | None | $12.88 | $18.62 | $58.88 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $208.93 Typical High $398.11 | Facility | None | $60.26 | $208.93 | $398.11 |
Blue Shield Setting Professional Modifier None Typical Low $16.22 Median $23.44 Typical High $41.69 | Professional | None | $16.22 | $23.44 | $41.69 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $37.15 | Professional | None | $22.91 | $22.91 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $42.66 Typical High $95.50 | Facility | None | $19.05 | $42.66 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $87.10 | Professional | None | $17.38 | $28.18 | $87.10 |
Contra Costa Health Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $31.62 | Professional | None | $23.44 | $31.62 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $79.43 | Professional | None | $23.99 | $31.62 | $79.43 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $28.18 | Professional | None | $14.13 | $14.13 | $28.18 |
Providence Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $87.10 | Facility | None | $21.88 | $35.48 | $87.10 |
Providence Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $66.07 | Professional | None | $17.38 | $28.18 | $66.07 |
Sutter Health Plus Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
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 $12.02 Median $16.98 Typical High $72.44 | Professional | None | $12.02 | $16.98 | $72.44 |
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 $15.49 Median $39.81 Typical High $95.50 | Facility | 52 · Reduced service | $15.49 | $39.81 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $15.85 Typical High $38.02 | Facility | 53 · Discontinued | $6.17 | $15.85 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $11.48 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $4.57 | $6.31 | $6.31 |
Where California sits
The same service costs 4.8 times more in Kansas than in Texas. 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· 19th of 51
$30.90
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.