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 $5.75 Median $14.13 Typical High $35.48 | Facility | None | $5.75 | $14.13 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $5.75 Typical High $5.75 | Professional | None | $3.72 | $5.75 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $9.12 Typical High $23.99 | Facility | None | $6.03 | $9.12 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $10.96 | Professional | None | $2.40 | $3.47 | $10.96 |
Blue Shield Setting Facility Modifier None Typical Low $12.59 Median $44.67 Typical High $74.13 | Facility | None | $12.59 | $44.67 | $74.13 |
Blue Shield Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $7.76 | Professional | None | $3.02 | $4.27 | $7.76 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $5.62 | Professional | None | $3.89 | $3.89 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $7.41 Typical High $16.60 | Facility | None | $3.39 | $7.41 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $5.25 Typical High $16.22 | Professional | None | $3.16 | $5.25 | $16.22 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.37 Median $5.37 Typical High $5.37 | Professional | None | $4.37 | $5.37 | $5.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.17 Median $5.37 Typical High $13.49 | Professional | None | $4.17 | $5.37 | $13.49 |
Molina Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $5.89 | Professional | None | $2.95 | $2.95 | $5.89 |
Providence Setting Facility Modifier None Typical Low $4.07 Median $6.17 Typical High $15.14 | Facility | None | $4.07 | $6.17 | $15.14 |
Providence Setting Professional Modifier None Typical Low $3.16 Median $4.90 Typical High $12.30 | Professional | None | $3.16 | $4.90 | $12.30 |
Sutter Health Plus Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
United Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $4.90 | Facility | None | $2.04 | $2.04 | $4.90 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.95 Typical High $13.18 | Professional | None | $2.04 | $2.95 | $13.18 |
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 $2.82 Median $7.41 Typical High $17.78 | Facility | 52 · Reduced service | $2.82 | $7.41 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.12 Median $2.95 Typical High $7.08 | Facility | 53 · Discontinued | $1.12 | $2.95 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.88 Typical High $2.88 | Professional | 52 · Reduced service | $2.04 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $1.15 Typical High $1.15 | Professional | 53 · Discontinued | $0.83 | $1.15 | $1.15 |
Where California sits
The same service costs 3.8 times more in Kansas than in Nebraska. 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· 26th of 51
$5.01
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.