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 $14.79 Median $75.86 Typical High $186.21 | Facility | None | $14.79 | $75.86 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $33.11 Typical High $42.66 | Professional | None | $13.49 | $33.11 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $24.55 | Professional | None | $21.88 | $23.44 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $63.10 Typical High $173.78 | Facility | None | $43.65 | $63.10 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $51.29 | Professional | None | $17.38 | $24.55 | $51.29 |
Blue Shield Setting Facility Modifier None Typical Low $37.15 Median $104.71 Typical High $190.55 | Facility | None | $37.15 | $104.71 | $190.55 |
Blue Shield Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $42.66 | Professional | None | $21.88 | $31.62 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $53.70 Typical High $117.49 | Facility | None | $24.55 | $53.70 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $38.02 Typical High $117.49 | Professional | None | $22.91 | $38.02 | $117.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | None | $35.48 | $38.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $100.00 | Professional | None | $30.20 | $38.90 | $100.00 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $42.66 | Professional | None | $21.38 | $21.38 | $42.66 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $42.66 Typical High $104.71 | Facility | None | $28.18 | $42.66 | $104.71 |
Providence Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $89.13 | Professional | None | $22.91 | $35.48 | $89.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $95.50 | Professional | None | $14.79 | $21.38 | $95.50 |
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 $7.41 Median $38.02 Typical High $93.33 | Facility | 52 · Reduced service | $7.41 | $38.02 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.95 Median $15.14 Typical High $37.15 | Facility | 53 · Discontinued | $2.95 | $15.14 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $6.61 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $2.69 | $8.51 | $8.51 |
Where California sits
The same service costs 4.3 times more in Alaska 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· 23rd of 51
$35.48
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.