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 $9.12 Median $31.62 Typical High $63.10 | Facility | None | $9.12 | $31.62 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $52.48 | Professional | None | $9.12 | $10.23 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $64.57 Typical High $141.25 | Facility | None | $45.71 | $64.57 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $5.01 Typical High $28.84 | Professional | None | $4.79 | $5.01 | $28.84 |
Blue Shield Setting Facility Modifier None Typical Low $24.55 Median $70.79 Typical High $131.83 | Facility | None | $24.55 | $70.79 | $131.83 |
Blue Shield Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $17.38 | Professional | None | $8.51 | $12.02 | $17.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.49 Median $30.20 Typical High $33.88 | Professional | None | $13.49 | $30.20 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $38.02 Typical High $102.33 | Facility | None | $8.32 | $38.02 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $45.71 Typical High $57.54 | Professional | None | $17.38 | $45.71 | $57.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.02 Median $41.69 Typical High $41.69 | Professional | None | $12.02 | $41.69 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $104.71 | Professional | None | $30.90 | $41.69 | $104.71 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $38.02 Typical High $85.11 | Facility | None | $10.47 | $38.02 | $85.11 |
Providence Setting Professional Modifier None Typical Low $11.48 Median $34.67 Typical High $75.86 | Professional | None | $11.48 | $34.67 | $75.86 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $38.02 | Facility | None | $15.85 | $15.85 | $38.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $50.12 | Professional | None | $5.01 | $7.24 | $50.12 |
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 $4.47 Median $13.49 Typical High $30.90 | Facility | 52 · Reduced service | $4.47 | $13.49 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $5.37 Typical High $12.59 | Facility | 53 · Discontinued | $1.82 | $5.37 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $5.13 Typical High $6.03 | Professional | 52 · Reduced service | $4.47 | $5.13 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.04 Typical High $2.40 | Professional | 53 · Discontinued | $1.82 | $2.04 | $2.40 |
Where California sits
The same service costs 10.0 times more in Alaska 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· 46th of 51
$12.02
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.