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 $6.92 Median $19.05 Typical High $47.86 | Facility | None | $6.92 | $19.05 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $7.94 | Professional | None | $5.01 | $7.76 | $7.94 |
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 $3.24 Median $4.68 Typical High $14.79 | Professional | None | $3.24 | $4.68 | $14.79 |
Blue Shield Setting Facility Modifier None Typical Low $16.98 Median $58.88 Typical High $100.00 | Facility | None | $16.98 | $58.88 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $10.47 | Professional | None | $4.07 | $5.89 | $10.47 |
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 $4.79 Median $10.96 Typical High $23.99 | Facility | None | $4.79 | $10.96 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $21.88 | Professional | None | $4.27 | $7.08 | $21.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $7.94 | Professional | None | $5.89 | $7.94 | $7.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.17 Median $7.94 Typical High $19.05 | Professional | None | $6.17 | $7.94 | $19.05 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $8.71 | Professional | None | $4.37 | $4.37 | $8.71 |
Providence Setting Facility Modifier None Typical Low $5.75 Median $8.71 Typical High $21.88 | Facility | None | $5.75 | $8.71 | $21.88 |
Providence Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $16.98 | Professional | None | $4.27 | $7.08 | $16.98 |
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 $3.02 Median $3.02 Typical High $7.24 | Facility | None | $3.02 | $3.02 | $7.24 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $18.20 | Professional | None | $3.02 | $4.37 | $18.20 |
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 $3.89 Median $10.00 Typical High $23.99 | Facility | 52 · Reduced service | $3.89 | $10.00 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.55 Median $3.98 Typical High $9.55 | Facility | 53 · Discontinued | $1.55 | $3.98 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $2.88 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.15 | $1.58 | $1.58 |
Where California sits
The same service costs 4.1 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· 25th of 51
$7.24
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.