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 $21.88 Median $57.54 Typical High $138.04 | Facility | None | $21.88 | $57.54 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $22.39 | Professional | None | $16.60 | $22.39 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $34.67 Typical High $95.50 | Facility | None | $23.99 | $34.67 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $35.48 | Professional | None | $9.33 | $10.96 | $35.48 |
Blue Shield Setting Facility Modifier None Typical Low $45.71 Median $151.36 Typical High $288.40 | Facility | None | $45.71 | $151.36 | $288.40 |
Blue Shield Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $30.20 | Professional | None | $11.75 | $16.60 | $30.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $5.89 Median $15.49 Typical High $17.38 | Professional | None | $5.89 | $15.49 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $29.51 Typical High $64.57 | Facility | None | $13.49 | $29.51 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $63.10 | Professional | None | $11.22 | $16.22 | $63.10 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.25 Median $21.38 Typical High $21.38 | Professional | None | $5.25 | $21.38 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $53.70 | Professional | None | $16.60 | $21.38 | $53.70 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $23.44 | Professional | None | $11.48 | $11.48 | $23.44 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $57.54 | Facility | None | $15.49 | $23.44 | $57.54 |
Providence Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $47.86 | Professional | None | $11.22 | $17.78 | $47.86 |
Sutter Health Plus Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $19.50 | Facility | None | $8.13 | $8.13 | $19.50 |
United Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $52.48 | Professional | None | $8.13 | $11.48 | $52.48 |
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 $10.96 Median $28.84 Typical High $69.18 | Facility | 52 · Reduced service | $10.96 | $28.84 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $11.48 Typical High $27.54 | Facility | 53 · Discontinued | $4.47 | $11.48 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $8.13 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $3.31 | $4.57 | $4.57 |
Where California sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$17.38
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.