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 $4.27 Median $10.96 Typical High $26.30 | Facility | None | $4.27 | $10.96 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.37 Typical High $13.18 | Professional | None | $3.80 | $4.37 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $81.28 | Facility | None | $19.95 | $29.51 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $6.46 Typical High $17.38 | Professional | None | $2.82 | $6.46 | $17.38 |
Blue Shield Setting Facility Modifier None Typical Low $10.96 Median $36.31 Typical High $57.54 | Facility | None | $10.96 | $36.31 | $57.54 |
Blue Shield Setting Professional Modifier None Typical Low $2.24 Median $3.24 Typical High $5.89 | Professional | None | $2.24 | $3.24 | $5.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.08 Median $13.18 Typical High $14.79 | Professional | None | $7.08 | $13.18 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $24.55 Typical High $54.95 | Facility | None | $4.47 | $24.55 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $8.13 Typical High $24.55 | Professional | None | $2.57 | $8.13 | $24.55 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.98 Median $17.78 Typical High $17.78 | Professional | None | $3.98 | $17.78 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $43.65 | Professional | None | $13.18 | $16.98 | $43.65 |
Molina Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $16.22 | Professional | None | $8.13 | $8.13 | $16.22 |
Providence Setting Facility Modifier None Typical Low $4.47 Median $16.22 Typical High $42.66 | Facility | None | $4.47 | $16.22 | $42.66 |
Providence Setting Professional Modifier None Typical Low $2.57 Median $7.76 Typical High $32.36 | Professional | None | $2.57 | $7.76 | $32.36 |
Sutter Health Plus Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.14 Median $6.92 Typical High $38.02 | Professional | None | $2.14 | $6.92 | $38.02 |
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 $2.09 Median $5.50 Typical High $13.18 | Facility | 52 · Reduced service | $2.09 | $5.50 | $13.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.83 Median $2.19 Typical High $5.25 | Facility | 53 · Discontinued | $0.83 | $2.19 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.91 Median $2.19 Typical High $6.46 | Professional | 52 · Reduced service | $1.91 | $2.19 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.87 Typical High $2.63 | Professional | 53 · Discontinued | $0.76 | $0.87 | $2.63 |
Where California sits
The same service costs 8.9 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· 39th of 51
$9.33
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.