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 $18.20 Median $44.67 Typical High $114.82 | Facility | None | $18.20 | $44.67 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $18.20 Typical High $18.62 | Professional | None | $11.75 | $18.20 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $10.47 | Professional | None | $9.55 | $9.55 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $28.18 Typical High $77.62 | Facility | None | $19.05 | $28.18 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $37.15 | Professional | None | $7.76 | $10.96 | $37.15 |
Blue Shield Setting Facility Modifier None Typical Low $38.90 Median $125.89 Typical High $234.42 | Facility | None | $38.90 | $125.89 | $234.42 |
Blue Shield Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $25.12 | Professional | None | $9.55 | $13.80 | $25.12 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $18.20 | Professional | None | $12.59 | $12.59 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $23.44 Typical High $53.70 | Facility | None | $10.96 | $23.44 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $12.02 Typical High $51.29 | Professional | None | $9.33 | $12.02 | $51.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $13.80 Median $16.98 Typical High $16.98 | Professional | None | $13.80 | $16.98 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $43.65 | Professional | None | $13.18 | $16.98 | $43.65 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $18.62 | Professional | None | $9.33 | $9.33 | $18.62 |
Providence Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $53.70 | Facility | None | $12.88 | $19.95 | $53.70 |
Providence Setting Professional Modifier None Typical Low $10.23 Median $15.49 Typical High $38.90 | Professional | None | $10.23 | $15.49 | $38.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $15.49 | Facility | None | $6.61 | $6.61 | $15.49 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $41.69 | Professional | None | $6.61 | $9.33 | $41.69 |
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 $9.12 Median $23.99 Typical High $56.23 | Facility | 52 · Reduced service | $9.12 | $23.99 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $9.55 Typical High $22.91 | Facility | 53 · Discontinued | $3.63 | $9.55 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $6.61 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $2.63 | $3.72 | $3.72 |
Where California sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 24th of 51
$15.49
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.