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 $28.84 Median $72.44 Typical High $181.97 | Facility | None | $28.84 | $72.44 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $57.54 | Professional | None | $22.91 | $29.51 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $25.70 | Professional | None | $20.89 | $20.89 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $204.17 | Facility | None | $51.29 | $74.13 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $63.10 | Professional | None | $16.60 | $19.50 | $63.10 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $199.53 Typical High $380.19 | Facility | None | $57.54 | $199.53 | $380.19 |
Blue Shield Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $40.74 | Professional | None | $15.49 | $21.88 | $40.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $53.70 | Professional | None | $33.11 | $33.11 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $63.10 Typical High $134.90 | Facility | None | $27.54 | $63.10 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $81.28 | Professional | None | $18.20 | $27.54 | $81.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $26.92 Median $45.71 Typical High $45.71 | Professional | None | $26.92 | $45.71 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $117.49 | Professional | None | $33.11 | $43.65 | $117.49 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $50.12 | Professional | None | $25.12 | $25.12 | $50.12 |
Providence Setting Facility Modifier None Typical Low $26.92 Median $47.86 Typical High $109.65 | Facility | None | $26.92 | $47.86 | $109.65 |
Providence Setting Professional Modifier None Typical Low $18.20 Median $32.36 Typical High $83.18 | Professional | None | $18.20 | $32.36 | $83.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $41.69 | Facility | None | $17.38 | $17.38 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $97.72 | Professional | None | $14.79 | $21.38 | $97.72 |
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 $14.45 Median $38.02 Typical High $91.20 | Facility | 52 · Reduced service | $14.45 | $38.02 | $91.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $15.14 Typical High $36.31 | Facility | 53 · Discontinued | $5.89 | $15.14 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $14.79 Typical High $17.78 | Professional | 52 · Reduced service | $13.18 | $14.79 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $7.24 | Professional | 53 · Discontinued | $5.25 | $6.03 | $7.24 |
Where California sits
The same service costs 3.9 times more in Alaska than in South Carolina. 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· 41st of 51
$30.90
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.