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 $5.01 Median $12.30 Typical High $31.62 | Facility | None | $5.01 | $12.30 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $5.01 Typical High $5.13 | Professional | None | $3.47 | $5.01 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $3.89 | Professional | None | $2.00 | $2.00 | $3.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $7.76 Typical High $21.38 | Facility | None | $5.37 | $7.76 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.02 Typical High $11.22 | Professional | None | $2.14 | $3.02 | $11.22 |
Blue Shield Setting Facility Modifier None Typical Low $10.96 Median $39.81 Typical High $64.57 | Facility | None | $10.96 | $39.81 | $64.57 |
Blue Shield Setting Professional Modifier None Typical Low $2.69 Median $3.80 Typical High $6.92 | Professional | None | $2.69 | $3.80 | $6.92 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $5.62 | Professional | None | $3.47 | $3.47 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $6.46 Typical High $14.79 | Facility | None | $3.02 | $6.46 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $4.68 Typical High $14.45 | Professional | None | $2.75 | $4.68 | $14.45 |
Contra Costa Health Setting Professional Modifier None Typical Low $2.63 Median $4.79 Typical High $4.79 | Professional | None | $2.63 | $4.79 | $4.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.47 Median $4.47 Typical High $12.02 | Professional | None | $3.47 | $4.47 | $12.02 |
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 $3.55 Median $5.62 Typical High $14.13 | Facility | None | $3.55 | $5.62 | $14.13 |
Providence Setting Professional Modifier None Typical Low $2.75 Median $4.27 Typical High $10.96 | Professional | None | $2.75 | $4.27 | $10.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.57 Typical High $11.48 | Professional | None | $1.82 | $2.57 | $11.48 |
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 $2.51 Median $6.61 Typical High $15.49 | Facility | 52 · Reduced service | $2.51 | $6.61 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.00 Median $2.63 Typical High $6.31 | Facility | 53 · Discontinued | $1.00 | $2.63 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $1.82 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $0.72 | $1.02 | $1.02 |
Where California sits
The same service costs 3.1 times more in Alaska than in Nebraska. 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
$4.90
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.