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 $7.76 Median $19.50 Typical High $48.98 | Facility | None | $7.76 | $19.50 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.94 Typical High $7.94 | Professional | None | $6.03 | $7.94 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $14.45 Typical High $39.81 | Facility | None | $10.00 | $14.45 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $4.79 Typical High $15.14 | Professional | None | $3.31 | $4.79 | $15.14 |
Blue Shield Setting Facility Modifier None Typical Low $18.62 Median $58.88 Typical High $102.33 | Facility | None | $18.62 | $58.88 | $102.33 |
Blue Shield Setting Professional Modifier None Typical Low $4.17 Median $5.89 Typical High $10.96 | Professional | None | $4.17 | $5.89 | $10.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $10.47 | Professional | None | $6.46 | $6.46 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $12.30 Typical High $26.92 | Facility | None | $5.37 | $12.30 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $7.24 Typical High $21.88 | Professional | None | $4.37 | $7.24 | $21.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $8.91 | Professional | None | $6.46 | $8.91 | $8.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $22.39 | Professional | None | $6.92 | $8.91 | $22.39 |
Molina Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $8.13 | Professional | None | $4.07 | $4.07 | $8.13 |
Providence Setting Facility Modifier None Typical Low $5.89 Median $9.77 Typical High $22.39 | Facility | None | $5.89 | $9.77 | $22.39 |
Providence Setting Professional Modifier None Typical Low $4.68 Median $7.41 Typical High $16.98 | Professional | None | $4.68 | $7.41 | $16.98 |
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 $8.13 | Facility | None | $3.39 | $3.39 | $8.13 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $18.62 | Professional | None | $3.39 | $4.79 | $18.62 |
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 $3.89 Median $10.23 Typical High $24.55 | Facility | 52 · Reduced service | $3.89 | $10.23 | $24.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $4.07 Typical High $9.77 | Facility | 53 · Discontinued | $1.58 | $4.07 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.09 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.23 | $1.58 | $1.58 |
Where California sits
The same service costs 4.3 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· 28th of 51
$7.59
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.