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 $4.27 Median $11.22 Typical High $26.92 | Facility | None | $4.27 | $11.22 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $4.37 Typical High $4.37 | Professional | None | $3.31 | $4.37 | $4.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $7.59 Typical High $19.50 | Facility | None | $4.90 | $7.59 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $2.57 Typical High $15.85 | Professional | None | $1.82 | $2.57 | $15.85 |
Blue Shield Setting Facility Modifier None Typical Low $9.33 Median $33.88 Typical High $57.54 | Facility | None | $9.33 | $33.88 | $57.54 |
Blue Shield Setting Professional Modifier None Typical Low $2.29 Median $3.24 Typical High $5.89 | Professional | None | $2.29 | $3.24 | $5.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $5.13 | Professional | None | $3.16 | $3.16 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $6.03 Typical High $13.49 | Facility | None | $2.69 | $6.03 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.89 Typical High $12.02 | Professional | None | $2.34 | $3.89 | $12.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.24 Median $4.37 Typical High $4.37 | Professional | None | $3.24 | $4.37 | $4.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.39 Median $4.37 Typical High $11.22 | Professional | None | $3.39 | $4.37 | $11.22 |
Molina Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $3.98 | Professional | None | $2.00 | $2.00 | $3.98 |
Providence Setting Facility Modifier None Typical Low $3.02 Median $4.79 Typical High $12.30 | Facility | None | $3.02 | $4.79 | $12.30 |
Providence Setting Professional Modifier None Typical Low $2.34 Median $3.80 Typical High $9.12 | Professional | None | $2.34 | $3.80 | $9.12 |
Sutter Health Plus Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
United Setting Facility Modifier None Typical Low $1.66 Median $1.66 Typical High $3.98 | Facility | None | $1.66 | $1.66 | $3.98 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.40 Typical High $10.00 | Professional | None | $1.66 | $2.40 | $10.00 |
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 $2.14 Median $5.62 Typical High $13.18 | Facility | 52 · Reduced service | $2.14 | $5.62 | $13.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.85 Median $2.24 Typical High $5.37 | Facility | 53 · Discontinued | $0.85 | $2.24 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $1.62 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.66 | $0.87 | $0.87 |
Where California sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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
$3.98
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.