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 $12.30 Median $33.88 Typical High $81.28 | Facility | None | $12.30 | $33.88 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $13.80 Typical High $13.80 | Professional | None | $10.47 | $13.80 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $22.91 Typical High $63.10 | Facility | None | $15.85 | $22.91 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $23.44 | Professional | None | $5.75 | $8.32 | $23.44 |
Blue Shield Setting Facility Modifier None Typical Low $28.84 Median $85.11 Typical High $158.49 | Facility | None | $28.84 | $85.11 | $158.49 |
Blue Shield Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $18.20 | Professional | None | $7.24 | $10.23 | $18.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $16.60 | Professional | None | $10.23 | $10.23 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $19.50 Typical High $42.66 | Facility | None | $8.51 | $19.50 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $38.90 | Professional | None | $7.59 | $12.59 | $38.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $14.13 | Professional | None | $10.23 | $14.13 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $35.48 | Professional | None | $10.96 | $14.13 | $35.48 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $12.88 | Professional | None | $6.31 | $6.31 | $12.88 |
Providence Setting Facility Modifier None Typical Low $8.51 Median $15.14 Typical High $38.90 | Facility | None | $8.51 | $15.14 | $38.90 |
Providence Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $29.51 | Professional | None | $7.59 | $12.59 | $29.51 |
Sutter Health Plus Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $12.88 | Facility | None | $5.37 | $5.37 | $12.88 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $32.36 | Professional | None | $5.37 | $7.59 | $32.36 |
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 $6.03 Median $16.98 Typical High $40.74 | Facility | 52 · Reduced service | $6.03 | $16.98 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $6.76 Typical High $16.22 | Facility | 53 · Discontinued | $2.45 | $6.76 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $5.25 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.09 | $2.75 | $2.75 |
Where California sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 30th of 51
$11.48
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.