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 $27.54 Median $72.44 Typical High $169.82 | Facility | None | $27.54 | $72.44 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $28.18 | Professional | None | $20.42 | $28.18 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $44.67 Typical High $123.03 | Facility | None | $30.90 | $44.67 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $74.13 | Professional | None | $11.75 | $16.60 | $74.13 |
Blue Shield Setting Facility Modifier None Typical Low $54.95 Median $190.55 Typical High $354.81 | Facility | None | $54.95 | $190.55 | $354.81 |
Blue Shield Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $38.02 | Professional | None | $14.45 | $20.89 | $38.02 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $33.11 | Professional | None | $19.95 | $19.95 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $38.02 Typical High $85.11 | Facility | None | $16.98 | $38.02 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $25.70 Typical High $77.62 | Professional | None | $15.14 | $25.70 | $77.62 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $27.54 | Professional | None | $20.89 | $27.54 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $70.79 | Professional | None | $21.38 | $26.30 | $70.79 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $25.12 | Professional | None | $12.59 | $12.59 | $25.12 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $32.36 Typical High $81.28 | Facility | None | $19.05 | $32.36 | $81.28 |
Providence Setting Professional Modifier None Typical Low $15.49 Median $25.12 Typical High $58.88 | Professional | None | $15.49 | $25.12 | $58.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $10.47 Median $15.14 Typical High $64.57 | Professional | None | $10.47 | $15.14 | $64.57 |
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 $13.80 Median $35.48 Typical High $85.11 | Facility | 52 · Reduced service | $13.80 | $35.48 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $14.45 Typical High $34.67 | Facility | 53 · Discontinued | $5.50 | $14.45 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $10.47 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $4.27 | $5.62 | $5.62 |
Where California sits
The same service costs 3.5 times more in Kansas than in Alabama. 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· 20th of 51
$27.54
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.