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 $6.03 Median $15.85 Typical High $38.02 | Facility | None | $6.03 | $15.85 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $6.31 Typical High $6.76 | Professional | None | $4.68 | $6.31 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $14.79 Typical High $38.90 | Facility | None | $9.55 | $14.79 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $4.07 Typical High $12.02 | Professional | None | $3.16 | $4.07 | $12.02 |
Blue Shield Setting Facility Modifier None Typical Low $14.79 Median $46.77 Typical High $79.43 | Facility | None | $14.79 | $46.77 | $79.43 |
Blue Shield Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $8.51 | Professional | None | $3.24 | $4.57 | $8.51 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.76 | Professional | None | $6.31 | $6.31 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $11.75 Typical High $26.30 | Facility | None | $5.25 | $11.75 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $16.98 | Professional | None | $3.80 | $5.62 | $16.98 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $8.51 | Professional | None | $5.62 | $8.51 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.31 Median $8.13 Typical High $21.88 | Professional | None | $6.31 | $8.13 | $21.88 |
Molina Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $9.33 | Professional | None | $4.68 | $4.68 | $9.33 |
Providence Setting Facility Modifier None Typical Low $5.13 Median $9.33 Typical High $20.42 | Facility | None | $5.13 | $9.33 | $20.42 |
Providence Setting Professional Modifier None Typical Low $3.80 Median $6.76 Typical High $15.49 | Professional | None | $3.80 | $6.76 | $15.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
United Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $7.76 | Facility | None | $3.31 | $3.31 | $7.76 |
United Setting Professional Modifier None Typical Low $3.09 Median $4.47 Typical High $18.20 | Professional | None | $3.09 | $4.47 | $18.20 |
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 $3.02 Median $7.94 Typical High $19.05 | Facility | 52 · Reduced service | $3.02 | $7.94 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.23 Median $3.16 Typical High $7.59 | Facility | 53 · Discontinued | $1.23 | $3.16 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $3.09 Typical High $3.39 | Professional | 52 · Reduced service | $2.75 | $3.09 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.26 Typical High $1.35 | Professional | 53 · Discontinued | $1.10 | $1.26 | $1.35 |
Where California sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 33rd of 51
$6.31
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.