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 $13.80 Median $36.31 Typical High $87.10 | Facility | None | $13.80 | $36.31 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $14.13 | Professional | None | $9.77 | $13.80 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $22.91 Typical High $63.10 | Facility | None | $15.85 | $22.91 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $26.92 | Professional | None | $5.89 | $8.32 | $26.92 |
Blue Shield Setting Facility Modifier None Typical Low $30.90 Median $95.50 Typical High $177.83 | Facility | None | $30.90 | $95.50 | $177.83 |
Blue Shield Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $19.05 | Professional | None | $7.41 | $10.47 | $19.05 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $16.60 | Professional | None | $10.23 | $10.23 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $19.50 Typical High $43.65 | Facility | None | $8.71 | $19.50 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $12.88 Typical High $39.81 | Professional | None | $7.59 | $12.88 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $14.13 | Professional | None | $10.47 | $14.13 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $36.31 | Professional | None | $10.96 | $14.13 | $36.31 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $12.88 | Professional | None | $6.46 | $6.46 | $12.88 |
Providence Setting Facility Modifier None Typical Low $9.77 Median $16.60 Typical High $40.74 | Facility | None | $9.77 | $16.60 | $40.74 |
Providence Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $30.20 | Professional | None | $7.76 | $12.88 | $30.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $33.11 | Professional | None | $5.37 | $7.76 | $33.11 |
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 $6.92 Median $18.20 Typical High $43.65 | Facility | 52 · Reduced service | $6.92 | $18.20 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.75 Median $7.24 Typical High $17.38 | Facility | 53 · Discontinued | $2.75 | $7.24 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $5.37 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.14 | $2.82 | $2.82 |
Where California sits
The same service costs 4.2 times more in Kansas than in Texas. 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· 21st of 51
$13.80
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.