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 $6.31 Median $14.79 Typical High $38.90 | Facility | None | $6.31 | $14.79 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $7.59 | Professional | None | $5.62 | $6.46 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $15.14 Typical High $38.90 | Facility | None | $9.77 | $15.14 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $4.17 Typical High $13.80 | Professional | None | $3.98 | $4.17 | $13.80 |
Blue Shield Setting Facility Modifier None Typical Low $15.14 Median $47.86 Typical High $81.28 | Facility | None | $15.14 | $47.86 | $81.28 |
Blue Shield Setting Professional Modifier None Typical Low $3.31 Median $4.79 Typical High $8.71 | Professional | None | $3.31 | $4.79 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $12.02 Typical High $27.54 | Facility | None | $5.62 | $12.02 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $8.51 Typical High $26.30 | Professional | None | $5.25 | $8.51 | $26.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $8.71 | Professional | None | $7.94 | $8.71 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.76 Median $8.71 Typical High $22.39 | Professional | None | $6.76 | $8.71 | $22.39 |
Molina Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $9.55 | Professional | None | $4.79 | $4.79 | $9.55 |
Providence Setting Facility Modifier None Typical Low $6.61 Median $9.55 Typical High $26.30 | Facility | None | $6.61 | $9.55 | $26.30 |
Providence Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $19.95 | Professional | None | $5.25 | $7.94 | $19.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
United Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $7.94 | Facility | None | $3.39 | $3.39 | $7.94 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $21.38 | Professional | None | $3.39 | $4.79 | $21.38 |
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 $3.16 Median $8.13 Typical High $19.50 | Facility | 52 · Reduced service | $3.16 | $8.13 | $19.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.26 Median $3.24 Typical High $7.76 | Facility | 53 · Discontinued | $1.26 | $3.24 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $3.24 Typical High $3.80 | Professional | 52 · Reduced service | $2.82 | $3.24 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.29 Typical High $1.51 | Professional | 53 · Discontinued | $1.12 | $1.29 | $1.51 |
Where California sits
The same service costs 4.5 times more in Kansas than in New Jersey. 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· 40th of 51
$6.46
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.