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 $16.98 Median $39.81 Typical High $107.15 | Facility | None | $16.98 | $39.81 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $17.38 Typical High $21.88 | Professional | None | $13.49 | $17.38 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $8.91 Typical High $26.92 | Professional | None | $4.90 | $8.91 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $26.30 Typical High $72.44 | Facility | None | $17.78 | $26.30 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $33.11 | Professional | None | $7.24 | $10.00 | $33.11 |
Blue Shield Setting Facility Modifier None Typical Low $37.15 Median $117.49 Typical High $218.78 | Facility | None | $37.15 | $117.49 | $218.78 |
Blue Shield Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $23.44 | Professional | None | $9.12 | $12.88 | $23.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $19.05 | Professional | None | $11.75 | $11.75 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $21.88 Typical High $48.98 | Facility | None | $10.23 | $21.88 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $15.85 Typical High $47.86 | Professional | None | $9.55 | $15.85 | $47.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $16.22 | Professional | None | $12.59 | $16.22 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $40.74 | Professional | None | $12.30 | $16.22 | $40.74 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $17.38 | Professional | None | $8.71 | $8.71 | $17.38 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $42.66 | Facility | None | $12.02 | $18.20 | $42.66 |
Providence Setting Professional Modifier None Typical Low $9.55 Median $14.45 Typical High $37.15 | Professional | None | $9.55 | $14.45 | $37.15 |
Sutter Health Plus Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $38.90 | Professional | None | $6.17 | $8.71 | $38.90 |
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 $8.51 Median $22.39 Typical High $53.70 | Facility | 52 · Reduced service | $8.51 | $22.39 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $8.91 Typical High $21.38 | Facility | 53 · Discontinued | $3.39 | $8.91 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $6.17 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $2.45 | $3.47 | $3.47 |
Where California sits
The same service costs 8.1 times more in Vermont 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· 28th of 51
$14.45
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.