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 $10.47 Median $26.92 Typical High $64.57 | Facility | None | $10.47 | $26.92 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $10.72 | Professional | None | $6.92 | $10.47 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $14.45 | Professional | None | $6.17 | $6.17 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $16.22 Typical High $44.67 | Facility | None | $11.22 | $16.22 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $6.31 Typical High $32.36 | Professional | None | $4.37 | $6.31 | $32.36 |
Blue Shield Setting Facility Modifier None Typical Low $22.91 Median $72.44 Typical High $134.90 | Facility | None | $22.91 | $72.44 | $134.90 |
Blue Shield Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $14.13 | Professional | None | $5.50 | $7.94 | $14.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $11.75 | Professional | None | $7.24 | $7.24 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $13.80 Typical High $30.90 | Facility | None | $6.31 | $13.80 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $28.84 | Professional | None | $5.75 | $9.55 | $28.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | None | $7.94 | $10.00 | $10.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.76 Median $10.00 Typical High $25.70 | Professional | None | $7.76 | $10.00 | $25.70 |
Molina Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $9.12 | Professional | None | $4.57 | $4.57 | $9.12 |
Providence Setting Facility Modifier None Typical Low $7.41 Median $11.75 Typical High $29.51 | Facility | None | $7.41 | $11.75 | $29.51 |
Providence Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $21.88 | Professional | None | $5.75 | $9.12 | $21.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $24.55 | Professional | None | $3.80 | $5.50 | $24.55 |
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 $5.25 Median $13.49 Typical High $32.36 | Facility | 52 · Reduced service | $5.25 | $13.49 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $5.37 Typical High $12.88 | Facility | 53 · Discontinued | $2.09 | $5.37 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $3.89 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $1.55 | $2.14 | $2.14 |
Where California sits
The same service costs 5.9 times more in Kansas than in Alabama. 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· 22nd of 51
$10.00
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.