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 $50.12 Typical High $120.23 | Facility | None | $19.05 | $50.12 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $19.05 Typical High $19.50 | Professional | None | $12.88 | $19.05 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $11.48 | Professional | None | $10.96 | $10.96 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $29.51 Typical High $81.28 | Facility | None | $20.42 | $29.51 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $37.15 | Professional | None | $8.13 | $11.75 | $37.15 |
Blue Shield Setting Facility Modifier None Typical Low $41.69 Median $131.83 Typical High $251.19 | Facility | None | $41.69 | $131.83 | $251.19 |
Blue Shield Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $26.30 | Professional | None | $10.23 | $14.45 | $26.30 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $21.38 | Professional | None | $13.18 | $13.18 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $25.12 Typical High $56.23 | Facility | None | $11.48 | $25.12 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $54.95 | Professional | None | $10.72 | $17.78 | $54.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $18.20 | Professional | None | $14.79 | $18.20 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $45.71 | Professional | None | $14.13 | $18.20 | $45.71 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $16.60 | Professional | None | $8.32 | $8.32 | $16.60 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $21.38 Typical High $60.26 | Facility | None | $13.80 | $21.38 | $60.26 |
Providence Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $41.69 | Professional | None | $10.72 | $16.60 | $41.69 |
Sutter Health Plus Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $16.60 | Facility | None | $6.92 | $6.92 | $16.60 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.00 Typical High $43.65 | Professional | None | $6.92 | $10.00 | $43.65 |
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 $6.92 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $6.92 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $2.82 | $3.98 | $3.98 |
Where California sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 25th of 51
$16.98
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.