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 $8.13 Median $19.95 Typical High $51.29 | Facility | None | $8.13 | $19.95 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $8.13 Typical High $8.32 | Professional | None | $6.17 | $8.13 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $14.45 Typical High $39.81 | Facility | None | $10.00 | $14.45 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $4.90 Typical High $24.55 | Professional | None | $3.47 | $4.90 | $24.55 |
Blue Shield Setting Facility Modifier None Typical Low $19.05 Median $61.66 Typical High $104.71 | Facility | None | $19.05 | $61.66 | $104.71 |
Blue Shield Setting Professional Modifier None Typical Low $4.37 Median $6.17 Typical High $11.22 | Professional | None | $4.37 | $6.17 | $11.22 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $10.47 | Professional | None | $6.46 | $6.46 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $12.30 Typical High $26.92 | Facility | None | $5.37 | $12.30 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $7.59 Typical High $23.44 | Professional | None | $4.57 | $7.59 | $23.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $8.91 | Professional | None | $6.46 | $8.91 | $8.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $22.91 | Professional | None | $6.92 | $8.91 | $22.91 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $9.77 | Professional | None | $4.90 | $4.90 | $9.77 |
Providence Setting Facility Modifier None Typical Low $6.03 Median $9.77 Typical High $23.99 | Facility | None | $6.03 | $9.77 | $23.99 |
Providence Setting Professional Modifier None Typical Low $4.57 Median $7.59 Typical High $17.38 | Professional | None | $4.57 | $7.59 | $17.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
United Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $8.13 | Facility | None | $3.39 | $3.39 | $8.13 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $19.50 | Professional | None | $3.39 | $4.90 | $19.50 |
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 $4.07 Median $10.72 Typical High $25.70 | Facility | 52 · Reduced service | $4.07 | $10.72 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $4.27 Typical High $10.23 | Facility | 53 · Discontinued | $1.62 | $4.27 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $3.16 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $1.26 | $1.66 | $1.66 |
Where California sits
The same service costs 8.3 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· 25th of 51
$7.94
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.