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 $22.91 Median $60.26 Typical High $144.54 | Facility | None | $22.91 | $60.26 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $33.88 | Professional | None | $20.89 | $23.44 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $190.55 | Facility | None | $47.86 | $69.18 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $56.23 | Professional | None | $15.49 | $15.49 | $56.23 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $158.49 Typical High $295.12 | Facility | None | $50.12 | $158.49 | $295.12 |
Blue Shield Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $31.62 | Professional | None | $12.02 | $17.38 | $31.62 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | None | $30.90 | $30.90 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $58.88 Typical High $125.89 | Facility | None | $24.55 | $58.88 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $74.13 | Professional | None | $14.45 | $23.99 | $74.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $42.66 | Professional | None | $21.38 | $42.66 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $107.15 | Professional | None | $30.90 | $40.74 | $107.15 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $38.90 | Professional | None | $19.50 | $19.50 | $38.90 |
Providence Setting Facility Modifier None Typical Low $23.44 Median $44.67 Typical High $102.33 | Facility | None | $23.44 | $44.67 | $102.33 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $77.62 | Professional | None | $14.45 | $23.44 | $77.62 |
Sutter Health Plus Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $11.48 Median $17.78 Typical High $91.20 | Professional | None | $11.48 | $17.78 | $91.20 |
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 $11.48 Median $29.51 Typical High $70.79 | Facility | 52 · Reduced service | $11.48 | $29.51 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $12.02 Typical High $28.84 | Facility | 53 · Discontinued | $4.57 | $12.02 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $11.75 Typical High $16.60 | Professional | 52 · Reduced service | $10.23 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.68 Typical High $6.76 | Professional | 53 · Discontinued | $4.17 | $4.68 | $6.76 |
Where California sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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
$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.