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 $4.37 Median $11.48 Typical High $27.54 | Facility | None | $4.37 | $11.48 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.47 Typical High $4.47 | Professional | None | $3.89 | $4.47 | $4.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $9.77 Typical High $25.12 | Facility | None | $6.31 | $9.77 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $2.95 Typical High $8.71 | Professional | None | $2.04 | $2.95 | $8.71 |
Blue Shield Setting Facility Modifier None Typical Low $10.72 Median $34.67 Typical High $60.26 | Facility | None | $10.72 | $34.67 | $60.26 |
Blue Shield Setting Professional Modifier None Typical Low $2.34 Median $3.31 Typical High $6.17 | Professional | None | $2.34 | $3.31 | $6.17 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $6.61 | Professional | None | $4.07 | $4.07 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $7.76 Typical High $16.98 | Facility | None | $3.47 | $7.76 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $4.07 Typical High $12.02 | Professional | None | $2.69 | $4.07 | $12.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.07 Median $5.62 Typical High $5.62 | Professional | None | $4.07 | $5.62 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.37 Median $5.62 Typical High $14.45 | Professional | None | $4.37 | $5.62 | $14.45 |
Molina Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $5.13 | Professional | None | $2.57 | $2.57 | $5.13 |
Providence Setting Facility Modifier None Typical Low $3.63 Median $6.17 Typical High $13.49 | Facility | None | $3.63 | $6.17 | $13.49 |
Providence Setting Professional Modifier None Typical Low $2.69 Median $4.07 Typical High $10.47 | Professional | None | $2.69 | $4.07 | $10.47 |
Sutter Health Plus Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.75 Typical High $12.02 | Professional | None | $2.14 | $2.75 | $12.02 |
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 $2.19 Median $5.75 Typical High $13.80 | Facility | 52 · Reduced service | $2.19 | $5.75 | $13.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.87 Median $2.29 Typical High $5.50 | Facility | 53 · Discontinued | $0.87 | $2.29 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $2.24 Typical High $2.24 | Professional | 52 · Reduced service | $1.95 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.89 Typical High $0.89 | Professional | 53 · Discontinued | $0.78 | $0.89 | $0.89 |
Where California sits
The same service costs 3.7 times more in Kansas than in Kentucky. 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· 29th of 51
$4.57
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.