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 $3.98 Median $8.32 Typical High $25.12 | Facility | None | $3.98 | $8.32 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $5.25 | Professional | None | $3.63 | $4.07 | $5.25 |
Ambetter Setting Professional Modifier None Typical Low $1.62 Median $1.91 Typical High $6.03 | Professional | None | $1.62 | $1.91 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $7.24 Typical High $18.62 | Facility | None | $4.68 | $7.24 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $2.45 Typical High $7.76 | Professional | None | $1.70 | $2.45 | $7.76 |
Blue Shield Setting Facility Modifier None Typical Low $8.91 Median $31.62 Typical High $57.54 | Facility | None | $8.91 | $31.62 | $57.54 |
Blue Shield Setting Professional Modifier None Typical Low $2.14 Median $3.02 Typical High $5.50 | Professional | None | $2.14 | $3.02 | $5.50 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $4.90 | Professional | None | $3.02 | $3.02 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $5.75 Typical High $12.59 | Facility | None | $2.51 | $5.75 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $3.80 Typical High $11.22 | Professional | None | $2.24 | $3.80 | $11.22 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.69 Median $4.17 Typical High $4.17 | Professional | None | $2.69 | $4.17 | $4.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.02 Median $4.17 Typical High $10.72 | Professional | None | $3.02 | $4.17 | $10.72 |
Molina Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Providence Setting Facility Modifier None Typical Low $2.88 Median $4.79 Typical High $11.75 | Facility | None | $2.88 | $4.79 | $11.75 |
Providence Setting Professional Modifier None Typical Low $2.29 Median $3.80 Typical High $8.51 | Professional | None | $2.29 | $3.80 | $8.51 |
Sutter Health Plus Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.29 Typical High $9.55 | Professional | None | $1.58 | $2.29 | $9.55 |
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 $2.00 Median $5.25 Typical High $12.59 | Facility | 52 · Reduced service | $2.00 | $5.25 | $12.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.79 Median $2.09 Typical High $5.01 | Facility | 53 · Discontinued | $0.79 | $2.09 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.55 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $1.55 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.62 | $0.81 | $0.81 |
Where California sits
The same service costs 11.7 times more in Minnesota 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· 24th of 51
$4.07
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.