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 $12.02 Median $31.62 Typical High $75.86 | Facility | None | $12.02 | $31.62 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $12.02 Typical High $12.30 | Professional | None | $8.13 | $12.02 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $20.42 Typical High $52.48 | Facility | None | $13.18 | $20.42 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $7.24 Typical High $28.18 | Professional | None | $5.13 | $7.24 | $28.18 |
Blue Shield Setting Facility Modifier None Typical Low $26.92 Median $85.11 Typical High $154.88 | Facility | None | $26.92 | $85.11 | $154.88 |
Blue Shield Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $16.60 | Professional | None | $6.46 | $9.12 | $16.60 |
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 $7.24 Median $16.22 Typical High $36.31 | Facility | None | $7.24 | $16.22 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $33.88 | Professional | None | $6.76 | $11.22 | $33.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $11.75 | Professional | None | $9.12 | $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 $8.51 Median $12.88 Typical High $33.11 | Facility | None | $8.51 | $12.88 | $33.11 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $10.72 Typical High $25.70 | Professional | None | $6.76 | $10.72 | $25.70 |
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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
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 $6.03 Median $15.85 Typical High $38.02 | Facility | 52 · Reduced service | $6.03 | $15.85 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $6.31 Typical High $15.14 | Facility | 53 · Discontinued | $2.40 | $6.31 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $4.57 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $1.82 | $2.45 | $2.45 |
Where California sits
The same service costs 3.9 times more in Kansas 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· 23rd of 51
$11.75
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.