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 $19.05 Median $47.86 Typical High $120.23 | Facility | None | $19.05 | $47.86 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $20.42 | Professional | None | $14.79 | $19.05 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | None | $14.13 | $14.13 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $117.49 | Facility | None | $28.84 | $42.66 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $37.15 | Professional | None | $9.33 | $12.88 | $37.15 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $131.83 Typical High $251.19 | Facility | None | $44.67 | $131.83 | $251.19 |
Blue Shield Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $26.92 | Professional | None | $10.23 | $14.45 | $26.92 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $30.90 | Professional | None | $19.05 | $19.05 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $35.48 Typical High $79.43 | Facility | None | $15.85 | $35.48 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $54.95 | Professional | None | $12.30 | $17.78 | $54.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $25.70 | Professional | None | $17.78 | $25.70 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $63.10 | Professional | None | $19.05 | $24.55 | $63.10 |
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 $16.60 Median $28.18 Typical High $70.79 | Facility | None | $16.60 | $28.18 | $70.79 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $21.38 Typical High $46.77 | Professional | None | $12.30 | $21.38 | $46.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $23.44 | Facility | None | $10.00 | $10.00 | $23.44 |
United Setting Professional Modifier None Typical Low $9.55 Median $14.13 Typical High $54.95 | Professional | None | $9.55 | $14.13 | $54.95 |
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 $9.55 Median $25.12 Typical High $60.26 | Facility | 52 · Reduced service | $9.55 | $25.12 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $10.00 Typical High $23.99 | Facility | 53 · Discontinued | $3.80 | $10.00 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $9.77 Typical High $10.23 | Professional | 52 · Reduced service | $8.71 | $9.77 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.98 Typical High $4.07 | Professional | 53 · Discontinued | $3.47 | $3.98 | $4.07 |
Where California sits
The same service costs 3.5 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· 32nd of 51
$19.50
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.