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 $12.59 Median $32.36 Typical High $77.62 | Facility | None | $12.59 | $32.36 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $12.88 | Professional | None | $8.51 | $12.88 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $19.05 Typical High $52.48 | Facility | None | $13.18 | $19.05 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $23.99 | Professional | None | $5.25 | $7.59 | $23.99 |
Blue Shield Setting Facility Modifier None Typical Low $27.54 Median $87.10 Typical High $162.18 | Facility | None | $27.54 | $87.10 | $162.18 |
Blue Shield Setting Professional Modifier None Typical Low $6.61 Median $9.55 Typical High $16.98 | Professional | None | $6.61 | $9.55 | $16.98 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $13.80 | Professional | None | $8.51 | $8.51 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $16.22 Typical High $37.15 | Facility | None | $7.59 | $16.22 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $35.48 | Professional | None | $7.08 | $11.75 | $35.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $11.75 | Professional | None | $9.55 | $11.75 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $11.22 Typical High $30.20 | Professional | None | $9.12 | $11.22 | $30.20 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $10.72 | Professional | None | $5.37 | $5.37 | $10.72 |
Providence Setting Facility Modifier None Typical Low $8.91 Median $13.49 Typical High $34.67 | Facility | None | $8.91 | $13.49 | $34.67 |
Providence Setting Professional Modifier None Typical Low $7.08 Median $10.72 Typical High $27.54 | Professional | None | $7.08 | $10.72 | $27.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.46 Typical High $28.84 | Professional | None | $4.47 | $6.46 | $28.84 |
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 $6.31 Median $16.22 Typical High $38.90 | Facility | 52 · Reduced service | $6.31 | $16.22 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $6.61 Typical High $15.49 | Facility | 53 · Discontinued | $2.51 | $6.61 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $4.27 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $2.57 Typical High $2.57 | Professional | 53 · Discontinued | $1.74 | $2.57 | $2.57 |
Where California sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 21st of 51
$12.30
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.