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 $9.33 Median $26.92 Typical High $64.57 | Facility | None | $9.33 | $26.92 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $10.47 Typical High $10.47 | Professional | None | $6.61 | $10.47 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $14.45 Typical High $38.02 | Facility | None | $9.55 | $14.45 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $19.95 | Professional | None | $3.80 | $5.62 | $19.95 |
Blue Shield Setting Facility Modifier None Typical Low $20.89 Median $72.44 Typical High $134.90 | Facility | None | $20.89 | $72.44 | $134.90 |
Blue Shield Setting Professional Modifier None Typical Low $5.50 Median $7.76 Typical High $14.13 | Professional | None | $5.50 | $7.76 | $14.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $10.00 | Professional | None | $6.17 | $6.17 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.30 Typical High $26.30 | Facility | None | $5.75 | $12.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $9.12 Typical High $28.84 | Professional | None | $5.13 | $9.12 | $28.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $6.92 Median $8.51 Typical High $8.51 | Professional | None | $6.92 | $8.51 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $21.38 | Professional | None | $6.61 | $7.94 | $21.38 |
Molina Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $7.76 | Professional | None | $3.89 | $3.89 | $7.76 |
Providence Setting Facility Modifier None Typical Low $6.17 Median $10.96 Typical High $27.54 | Facility | None | $6.17 | $10.96 | $27.54 |
Providence Setting Professional Modifier None Typical Low $5.13 Median $7.76 Typical High $21.88 | Professional | None | $5.13 | $7.76 | $21.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
United Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $7.76 | Facility | None | $3.24 | $3.24 | $7.76 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.25 Typical High $20.89 | Professional | None | $3.24 | $5.25 | $20.89 |
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 $4.68 Median $13.49 Typical High $32.36 | Facility | 52 · Reduced service | $4.68 | $13.49 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.86 Median $5.37 Typical High $12.88 | Facility | 53 · Discontinued | $1.86 | $5.37 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $3.31 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $1.32 | $2.14 | $2.14 |
Where California sits
The same service costs 3.5 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· 23rd of 51
$8.51
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.