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 $23.99 Median $61.66 Typical High $147.91 | Facility | None | $23.99 | $61.66 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $24.55 Typical High $24.55 | Professional | None | $16.22 | $24.55 | $24.55 |
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 $10.00 Median $14.45 Typical High $45.71 | Professional | None | $10.00 | $14.45 | $45.71 |
Blue Shield Setting Facility Modifier None Typical Low $47.86 Median $162.18 Typical High $309.03 | Facility | None | $47.86 | $162.18 | $309.03 |
Blue Shield Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $32.36 | Professional | None | $12.59 | $18.20 | $32.36 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $26.30 | Professional | None | $16.22 | $16.22 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $70.79 | Facility | None | $14.13 | $30.90 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $21.88 Typical High $67.61 | Professional | None | $13.49 | $21.88 | $67.61 |
Contra Costa Health Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $22.39 | Professional | None | $18.20 | $22.39 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $57.54 | Professional | None | $17.38 | $22.39 | $57.54 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $24.55 | Professional | None | $12.30 | $12.30 | $24.55 |
Providence Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $67.61 | Facility | None | $16.98 | $26.30 | $67.61 |
Providence Setting Professional Modifier None Typical Low $13.49 Median $20.42 Typical High $51.29 | Professional | None | $13.49 | $20.42 | $51.29 |
Sutter Health Plus Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
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 $8.51 Median $12.30 Typical High $54.95 | Professional | None | $8.51 | $12.30 | $54.95 |
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 $12.02 Median $30.90 Typical High $74.13 | Facility | 52 · Reduced service | $12.02 | $30.90 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $12.30 Typical High $29.51 | Facility | 53 · Discontinued | $4.79 | $12.30 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $8.71 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $3.47 | $4.90 | $4.90 |
Where California sits
The same service costs 4.7 times more in Kansas than in West Virginia. 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
$20.89
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.