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 $21.88 Median $57.54 Typical High $138.04 | Facility | None | $21.88 | $57.54 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $22.91 | Professional | None | $16.98 | $22.91 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $38.02 Typical High $104.71 | Facility | None | $25.70 | $38.02 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $42.66 | Professional | None | $9.33 | $13.49 | $42.66 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $151.36 Typical High $288.40 | Facility | None | $48.98 | $151.36 | $288.40 |
Blue Shield Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $30.20 | Professional | None | $11.75 | $16.60 | $30.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $27.54 | Professional | None | $16.98 | $16.98 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $31.62 Typical High $70.79 | Facility | None | $14.13 | $31.62 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $63.10 | Professional | None | $12.30 | $20.42 | $63.10 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $22.91 | Professional | None | $16.98 | $22.91 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $58.88 | Professional | None | $17.78 | $22.91 | $58.88 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $20.89 | Professional | None | $10.47 | $10.47 | $20.89 |
Providence Setting Facility Modifier None Typical Low $15.85 Median $26.30 Typical High $69.18 | Facility | None | $15.85 | $26.30 | $69.18 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $47.86 | Professional | None | $12.30 | $20.42 | $47.86 |
Sutter Health Plus Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $20.89 | Facility | None | $8.91 | $8.91 | $20.89 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $52.48 | Professional | None | $8.91 | $12.59 | $52.48 |
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 $10.96 Median $28.84 Typical High $69.18 | Facility | 52 · Reduced service | $10.96 | $28.84 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $11.48 Typical High $27.54 | Facility | 53 · Discontinued | $4.47 | $11.48 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $8.51 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $3.39 | $4.57 | $4.57 |
Where California sits
The same service costs 3.4 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
$20.89
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.