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 $8.71 Median $22.91 Typical High $54.95 | Facility | None | $8.71 | $22.91 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $8.71 Typical High $8.91 | Professional | None | $5.62 | $8.71 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $13.80 Typical High $35.48 | Facility | None | $8.91 | $13.80 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $16.98 | Professional | None | $3.55 | $5.01 | $16.98 |
Blue Shield Setting Facility Modifier None Typical Low $19.50 Median $64.57 Typical High $114.82 | Facility | None | $19.50 | $64.57 | $114.82 |
Blue Shield Setting Professional Modifier None Typical Low $4.68 Median $6.61 Typical High $12.02 | Professional | None | $4.68 | $6.61 | $12.02 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $9.33 | Professional | None | $5.75 | $5.75 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $10.96 Typical High $25.12 | Facility | None | $5.01 | $10.96 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $8.13 Typical High $25.12 | Professional | None | $4.68 | $8.13 | $25.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $7.94 | Professional | None | $6.46 | $7.94 | $7.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.17 Median $7.94 Typical High $19.95 | Professional | None | $6.17 | $7.94 | $19.95 |
Molina Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $7.24 | Professional | None | $3.63 | $3.63 | $7.24 |
Providence Setting Facility Modifier None Typical Low $6.17 Median $9.33 Typical High $23.44 | Facility | None | $6.17 | $9.33 | $23.44 |
Providence Setting Professional Modifier None Typical Low $4.68 Median $7.24 Typical High $19.05 | Professional | None | $4.68 | $7.24 | $19.05 |
Sutter Health Plus Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.47 Typical High $19.50 | Professional | None | $3.02 | $4.47 | $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 $4.37 Median $11.48 Typical High $27.54 | Facility | 52 · Reduced service | $4.37 | $11.48 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.74 Median $4.57 Typical High $10.96 | Facility | 53 · Discontinued | $1.74 | $4.57 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $4.47 Typical High $4.47 | Professional | 52 · Reduced service | $3.09 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.23 | $1.82 | $1.82 |
Where California sits
The same service costs 4.4 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· 22nd of 51
$8.32
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.