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 $61.66 Median $158.49 Typical High $380.19 | Facility | None | $61.66 | $158.49 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | None | $53.70 | $63.10 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $354.81 | Facility | None | $87.10 | $128.82 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $117.49 | Professional | None | $28.18 | $41.69 | $117.49 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $416.87 Typical High $794.33 | Facility | None | $97.72 | $416.87 | $794.33 |
Blue Shield Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $85.11 | Professional | None | $32.36 | $46.77 | $85.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $93.33 | Professional | None | $57.54 | $57.54 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $107.15 Typical High $239.88 | Facility | None | $47.86 | $107.15 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $56.23 Typical High $173.78 | Professional | None | $38.02 | $56.23 | $173.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $77.62 | Professional | None | $57.54 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $190.55 | Professional | None | $60.26 | $74.13 | $190.55 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $70.79 | Professional | None | $35.48 | $35.48 | $70.79 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $83.18 Typical High $186.21 | Facility | None | $46.77 | $83.18 | $186.21 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $64.57 Typical High $141.25 | Professional | None | $38.02 | $64.57 | $141.25 |
Sutter Health Plus Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $70.79 | Facility | None | $30.20 | $30.20 | $70.79 |
United Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $165.96 | Professional | None | $30.20 | $41.69 | $165.96 |
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 $30.90 Median $79.43 Typical High $190.55 | Facility | 52 · Reduced service | $30.90 | $79.43 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $31.62 Typical High $75.86 | Facility | 53 · Discontinued | $12.30 | $31.62 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $26.92 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $12.59 | $12.59 |
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· 27th of 51
$61.66
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.