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 $12.30 Median $31.62 Typical High $75.86 | Facility | None | $12.30 | $31.62 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.59 Typical High $14.79 | Professional | None | $10.96 | $12.59 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $30.90 Typical High $85.11 | Facility | None | $21.38 | $30.90 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $8.13 Typical High $25.12 | Professional | None | $6.92 | $8.13 | $25.12 |
Blue Shield Setting Facility Modifier None Typical Low $30.20 Median $85.11 Typical High $158.49 | Facility | None | $30.20 | $85.11 | $158.49 |
Blue Shield Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $16.98 | Professional | None | $6.46 | $9.33 | $16.98 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $22.39 | Professional | None | $13.80 | $13.80 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $26.30 Typical High $57.54 | Facility | None | $11.48 | $26.30 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $34.67 | Professional | None | $7.59 | $11.48 | $34.67 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $19.05 | Professional | None | $11.22 | $19.05 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $17.78 Typical High $47.86 | Professional | None | $13.80 | $17.78 | $47.86 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $17.38 | Professional | None | $8.71 | $8.71 | $17.38 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $20.89 Typical High $51.29 | Facility | None | $12.02 | $20.89 | $51.29 |
Providence Setting Professional Modifier None Typical Low $7.59 Median $13.49 Typical High $34.67 | Professional | None | $7.59 | $13.49 | $34.67 |
Sutter Health Plus Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $17.38 | Facility | None | $7.24 | $7.24 | $17.38 |
United Setting Professional Modifier None Typical Low $6.17 Median $7.94 Typical High $39.81 | Professional | None | $6.17 | $7.94 | $39.81 |
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 $6.03 Median $15.85 Typical High $38.02 | Facility | 52 · Reduced service | $6.03 | $15.85 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $6.31 Typical High $15.14 | Facility | 53 · Discontinued | $2.45 | $6.31 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $6.31 Typical High $7.41 | Professional | 52 · Reduced service | $5.50 | $6.31 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.51 Typical High $2.95 | Professional | 53 · Discontinued | $2.19 | $2.51 | $2.95 |
Where California sits
The same service costs 6.3 times more in Alaska 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· 41st of 51
$12.59
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.