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 $5.37 Median $13.80 Typical High $33.11 | Facility | None | $5.37 | $13.80 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.50 Typical High $16.22 | Professional | None | $4.79 | $5.50 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $36.31 Typical High $100.00 | Facility | None | $25.12 | $36.31 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $8.13 Typical High $21.38 | Professional | None | $3.55 | $8.13 | $21.38 |
Blue Shield Setting Facility Modifier None Typical Low $13.80 Median $45.71 Typical High $70.79 | Facility | None | $13.80 | $45.71 | $70.79 |
Blue Shield Setting Professional Modifier None Typical Low $2.82 Median $4.07 Typical High $7.41 | Professional | None | $2.82 | $4.07 | $7.41 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $8.32 Median $16.22 Typical High $18.20 | Professional | None | $8.32 | $16.22 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $30.90 Typical High $67.61 | Facility | None | $5.62 | $30.90 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $9.55 Typical High $30.90 | Professional | None | $3.31 | $9.55 | $30.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.90 Median $22.39 Typical High $22.39 | Professional | None | $4.90 | $22.39 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $57.54 | Professional | None | $16.22 | $21.38 | $57.54 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $20.42 | Professional | None | $10.23 | $10.23 | $20.42 |
Providence Setting Facility Modifier None Typical Low $6.92 Median $20.42 Typical High $53.70 | Facility | None | $6.92 | $20.42 | $53.70 |
Providence Setting Professional Modifier None Typical Low $3.31 Median $9.55 Typical High $40.74 | Professional | None | $3.31 | $9.55 | $40.74 |
Sutter Health Plus Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $20.42 | Facility | None | $8.51 | $8.51 | $20.42 |
United Setting Professional Modifier None Typical Low $2.69 Median $8.51 Typical High $46.77 | Professional | None | $2.69 | $8.51 | $46.77 |
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 $2.63 Median $6.92 Typical High $16.60 | Facility | 52 · Reduced service | $2.63 | $6.92 | $16.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $2.75 Typical High $6.61 | Facility | 53 · Discontinued | $1.07 | $2.75 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.40 Median $2.69 Typical High $8.13 | Professional | 52 · Reduced service | $2.40 | $2.69 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.10 Typical High $3.24 | Professional | 53 · Discontinued | $0.95 | $1.10 | $3.24 |
Where California sits
The same service costs 7.6 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· 45th of 51
$9.12
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.