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 $10.00 Median $26.30 Typical High $63.10 | Facility | None | $10.00 | $26.30 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $11.48 | Professional | None | $9.12 | $10.23 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $23.99 Typical High $66.07 | Facility | None | $16.60 | $23.99 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $20.89 | Professional | None | $5.37 | $6.76 | $20.89 |
Blue Shield Setting Facility Modifier None Typical Low $24.55 Median $70.79 Typical High $128.82 | Facility | None | $24.55 | $70.79 | $128.82 |
Blue Shield Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $14.13 | Professional | None | $5.37 | $7.59 | $14.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $17.38 | Professional | None | $10.72 | $10.72 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $20.42 Typical High $44.67 | Facility | None | $8.91 | $20.42 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $28.18 | Professional | None | $6.46 | $9.33 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.33 Median $14.79 Typical High $14.79 | Professional | None | $9.33 | $14.79 | $14.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.72 Median $14.13 Typical High $35.48 | Professional | None | $10.72 | $14.13 | $35.48 |
Molina Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $13.49 | Professional | None | $6.61 | $6.61 | $13.49 |
Providence Setting Facility Modifier None Typical Low $9.33 Median $15.85 Typical High $35.48 | Facility | None | $9.33 | $15.85 | $35.48 |
Providence Setting Professional Modifier None Typical Low $6.46 Median $10.96 Typical High $26.92 | Professional | None | $6.46 | $10.96 | $26.92 |
Sutter Health Plus Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $30.90 | Professional | None | $5.01 | $7.41 | $30.90 |
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 $5.01 Median $13.18 Typical High $31.62 | Facility | 52 · Reduced service | $5.01 | $13.18 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $5.25 Typical High $12.59 | Facility | 53 · Discontinued | $2.00 | $5.25 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $5.13 Typical High $5.75 | Professional | 52 · Reduced service | $4.57 | $5.13 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.04 Typical High $2.29 | Professional | 53 · Discontinued | $1.82 | $2.04 | $2.29 |
Where California sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 26th 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.