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 $11.48 Median $30.20 Typical High $72.44 | Facility | None | $11.48 | $30.20 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $11.48 Typical High $11.75 | Professional | None | $7.41 | $11.48 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.92 | Professional | None | $6.61 | $6.61 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $48.98 | Facility | None | $12.02 | $18.62 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $29.51 | Professional | None | $4.90 | $6.92 | $29.51 |
Blue Shield Setting Facility Modifier None Typical Low $25.12 Median $81.28 Typical High $147.91 | Facility | None | $25.12 | $81.28 | $147.91 |
Blue Shield Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $15.85 | Professional | None | $6.17 | $8.71 | $15.85 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $12.88 | Professional | None | $7.94 | $7.94 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $14.79 Typical High $33.88 | Facility | None | $6.92 | $14.79 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $10.47 Typical High $32.36 | Professional | None | $6.31 | $10.47 | $32.36 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $10.96 | Professional | None | $8.71 | $10.96 | $10.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $27.54 | Professional | None | $8.32 | $10.96 | $27.54 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $9.77 | Professional | None | $4.90 | $4.90 | $9.77 |
Providence Setting Facility Modifier None Typical Low $8.13 Median $12.30 Typical High $31.62 | Facility | None | $8.13 | $12.30 | $31.62 |
Providence Setting Professional Modifier None Typical Low $6.31 Median $9.77 Typical High $24.55 | Professional | None | $6.31 | $9.77 | $24.55 |
Sutter Health Plus Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.89 Typical High $26.30 | Professional | None | $4.17 | $5.89 | $26.30 |
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 $5.75 Median $15.14 Typical High $35.48 | Facility | 52 · Reduced service | $5.75 | $15.14 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $6.03 Typical High $14.45 | Facility | 53 · Discontinued | $2.29 | $6.03 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $4.17 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $1.66 | $2.34 | $2.34 |
Where California sits
The same service costs 4.1 times more in Kansas than in Nebraska. 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
$10.96
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.