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 $9.55 Median $17.78 Typical High $58.88 | Facility | None | $9.55 | $17.78 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $15.85 | Professional | None | $8.71 | $9.77 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $7.24 | Professional | None | $5.75 | $7.08 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $56.23 | Facility | None | $14.13 | $21.88 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $4.79 Typical High $15.14 | Professional | None | $4.57 | $4.79 | $15.14 |
Blue Shield Setting Facility Modifier None Typical Low $23.44 Median $67.61 Typical High $125.89 | Facility | None | $23.44 | $67.61 | $125.89 |
Blue Shield Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $16.60 | Professional | None | $8.13 | $11.48 | $16.60 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $15.14 | Professional | None | $9.12 | $9.12 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $15.14 Typical High $41.69 | Facility | None | $8.71 | $15.14 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $14.13 Typical High $17.38 | Professional | None | $6.31 | $14.13 | $17.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $12.59 | Professional | None | $11.48 | $12.59 | $12.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $32.36 | Professional | None | $9.77 | $12.59 | $32.36 |
Lucent Health Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $14.45 | Professional | None | $10.00 | $11.22 | $14.45 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Providence Setting Facility Modifier None Typical Low $8.71 Median $13.80 Typical High $33.88 | Facility | None | $8.71 | $13.80 | $33.88 |
Providence Setting Professional Modifier None Typical Low $6.46 Median $11.48 Typical High $22.91 | Professional | None | $6.46 | $11.48 | $22.91 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $11.48 | Facility | None | $4.79 | $4.79 | $11.48 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $26.92 | Professional | None | $4.79 | $6.92 | $26.92 |
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 $4.37 Median $12.59 Typical High $30.20 | Facility | 52 · Reduced service | $4.37 | $12.59 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.74 Median $5.01 Typical High $12.02 | Facility | 53 · Discontinued | $1.74 | $5.01 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.90 Typical High $4.90 | Professional | 52 · Reduced service | $4.07 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.62 | $1.95 | $1.95 |
Where California sits
The same service costs 24.0 times more in Vermont 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· 27th of 51
$10.96
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.