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 $16.22 Median $38.02 Typical High $100.00 | Facility | None | $16.22 | $38.02 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $19.05 | Professional | None | $11.75 | $16.22 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $9.12 | Professional | None | $8.51 | $8.51 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $67.61 | Facility | None | $16.98 | $24.55 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $60.26 | Professional | None | $6.76 | $9.55 | $60.26 |
Blue Shield Setting Facility Modifier None Typical Low $35.48 Median $109.65 Typical High $208.93 | Facility | None | $35.48 | $109.65 | $208.93 |
Blue Shield Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $21.88 | Professional | None | $8.51 | $12.30 | $21.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $17.78 | Professional | None | $10.96 | $10.96 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $20.89 Typical High $47.86 | Facility | None | $9.77 | $20.89 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $45.71 | Professional | None | $9.12 | $14.79 | $45.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $15.14 | Professional | None | $12.30 | $15.14 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $38.90 | Professional | None | $11.75 | $15.14 | $38.90 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $16.60 | Professional | None | $8.32 | $8.32 | $16.60 |
Providence Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $45.71 | Facility | None | $11.48 | $17.78 | $45.71 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $35.48 | Professional | None | $9.12 | $13.80 | $35.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $13.80 | Facility | None | $5.75 | $5.75 | $13.80 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $37.15 | Professional | None | $5.75 | $8.32 | $37.15 |
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 $8.13 Median $20.89 Typical High $50.12 | Facility | 52 · Reduced service | $8.13 | $20.89 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.24 Median $8.51 Typical High $19.95 | Facility | 53 · Discontinued | $3.24 | $8.51 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $5.89 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.34 | $3.31 | $3.31 |
Where California sits
The same service costs 28.8 times more in Vermont 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· 24th of 51
$14.45
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.