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 $7.59 Median $19.05 Typical High $47.86 | Facility | None | $7.59 | $19.05 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $7.76 | Professional | None | $5.01 | $7.59 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $11.75 Typical High $32.36 | Facility | None | $8.13 | $11.75 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $18.62 | Professional | None | $3.24 | $4.68 | $18.62 |
Blue Shield Setting Facility Modifier None Typical Low $16.98 Median $57.54 Typical High $97.72 | Facility | None | $16.98 | $57.54 | $97.72 |
Blue Shield Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $10.47 | Professional | None | $4.07 | $5.75 | $10.47 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $8.51 | Professional | None | $5.25 | $5.25 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $9.77 Typical High $22.39 | Facility | None | $4.57 | $9.77 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $21.88 | Professional | None | $4.27 | $7.08 | $21.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $7.24 | Professional | None | $5.75 | $7.24 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.50 Median $7.24 Typical High $18.20 | Professional | None | $5.50 | $7.24 | $18.20 |
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 $5.37 Median $8.51 Typical High $22.39 | Facility | None | $5.37 | $8.51 | $22.39 |
Providence Setting Professional Modifier None Typical Low $4.27 Median $6.46 Typical High $16.22 | Professional | None | $4.27 | $6.46 | $16.22 |
Sutter Health Plus Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
United Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $6.46 | Facility | None | $2.75 | $2.75 | $6.46 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.89 Typical High $17.38 | Professional | None | $2.75 | $3.89 | $17.38 |
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 $3.80 Median $10.00 Typical High $23.99 | Facility | 52 · Reduced service | $3.80 | $10.00 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $3.98 Typical High $9.55 | Facility | 53 · Discontinued | $1.51 | $3.98 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $2.75 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.12 | $1.55 | $1.55 |
Where California sits
The same service costs 3.0 times more in Alaska than in Maryland. 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
$6.61
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.