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 $10.00 Median $24.55 Typical High $61.66 | Facility | None | $10.00 | $24.55 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $12.30 | Professional | None | $7.59 | $10.23 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $8.91 Typical High $9.12 | Professional | None | $7.24 | $8.91 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $25.70 Typical High $70.79 | Facility | None | $17.78 | $25.70 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $6.76 Typical High $20.89 | Professional | None | $5.75 | $6.76 | $20.89 |
Blue Shield Setting Facility Modifier None Typical Low $24.55 Median $69.18 Typical High $128.82 | Facility | None | $24.55 | $69.18 | $128.82 |
Blue Shield Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $13.80 | Professional | None | $5.25 | $7.59 | $13.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $18.62 | Professional | None | $11.48 | $11.48 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $21.88 Typical High $47.86 | Facility | None | $9.55 | $21.88 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $28.18 | Professional | None | $6.17 | $9.55 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $15.85 | Professional | None | $9.33 | $15.85 | $15.85 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $38.90 | Professional | None | $11.48 | $15.14 | $38.90 |
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 $10.23 Median $16.60 Typical High $38.02 | Facility | None | $10.23 | $16.60 | $38.02 |
Providence Setting Professional Modifier None Typical Low $6.17 Median $10.96 Typical High $28.84 | Professional | None | $6.17 | $10.96 | $28.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $14.45 | Facility | None | $6.03 | $6.03 | $14.45 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $33.88 | Professional | None | $5.01 | $6.61 | $33.88 |
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 $5.01 Median $12.88 Typical High $30.90 | Facility | 52 · Reduced service | $5.01 | $12.88 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $5.13 Typical High $12.30 | Facility | 53 · Discontinued | $2.00 | $5.13 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $5.13 Typical High $6.17 | Professional | 52 · Reduced service | $4.47 | $5.13 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.04 Typical High $2.51 | Professional | 53 · Discontinued | $1.78 | $2.04 | $2.51 |
Where California sits
The same service costs 5.4 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· 40th of 51
$10.47
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.