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 $20.89 Median $51.29 Typical High $131.83 | Facility | None | $20.89 | $51.29 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $20.89 Typical High $21.38 | Professional | None | $11.75 | $20.89 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $89.13 | Facility | None | $22.39 | $32.36 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $38.90 | Professional | None | $8.91 | $12.30 | $38.90 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $144.54 Typical High $269.15 | Facility | None | $44.67 | $144.54 | $269.15 |
Blue Shield Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $28.84 | Professional | None | $11.22 | $15.85 | $28.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $23.44 | Professional | None | $14.45 | $14.45 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $26.92 Typical High $61.66 | Facility | None | $12.59 | $26.92 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $58.88 | Professional | None | $11.75 | $19.50 | $58.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $19.95 | Professional | None | $15.85 | $19.95 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $50.12 | Professional | None | $15.14 | $19.95 | $50.12 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $21.38 | Professional | None | $10.72 | $10.72 | $21.38 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $22.39 Typical High $53.70 | Facility | None | $14.79 | $22.39 | $53.70 |
Providence Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $45.71 | Professional | None | $11.75 | $17.78 | $45.71 |
Sutter Health Plus Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $17.78 | Facility | None | $7.59 | $7.59 | $17.78 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $47.86 | Professional | None | $7.59 | $10.72 | $47.86 |
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 $10.47 Median $27.54 Typical High $66.07 | Facility | 52 · Reduced service | $10.47 | $27.54 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $10.96 Typical High $26.30 | Facility | 53 · Discontinued | $4.17 | $10.96 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $7.24 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $2.88 | $4.27 | $4.27 |
Where California sits
The same service costs 6.2 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· 21st of 51
$17.78
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.