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 $12.30 Median $32.36 Typical High $77.62 | Facility | None | $12.30 | $32.36 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $12.59 | Professional | None | $8.13 | $12.30 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $19.05 Typical High $52.48 | Facility | None | $13.18 | $19.05 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $23.44 | Professional | None | $5.25 | $7.59 | $23.44 |
Blue Shield Setting Facility Modifier None Typical Low $27.54 Median $87.10 Typical High $162.18 | Facility | None | $27.54 | $87.10 | $162.18 |
Blue Shield Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $16.98 | Professional | None | $6.61 | $9.33 | $16.98 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $13.80 | Professional | None | $8.51 | $8.51 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $16.22 Typical High $36.31 | Facility | None | $7.41 | $16.22 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $35.48 | Professional | None | $6.92 | $11.48 | $35.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $11.75 | Professional | None | $9.33 | $11.75 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $29.51 | Professional | None | $9.12 | $11.75 | $29.51 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $12.88 | Professional | None | $6.46 | $6.46 | $12.88 |
Providence Setting Facility Modifier None Typical Low $8.91 Median $13.49 Typical High $31.62 | Facility | None | $8.91 | $13.49 | $31.62 |
Providence Setting Professional Modifier None Typical Low $6.92 Median $10.72 Typical High $26.92 | Professional | None | $6.92 | $10.72 | $26.92 |
Sutter Health Plus Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
United Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $10.72 | Facility | None | $4.47 | $4.47 | $10.72 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $28.84 | Professional | None | $4.47 | $6.31 | $28.84 |
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 $6.17 Median $16.22 Typical High $38.90 | Facility | 52 · Reduced service | $6.17 | $16.22 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $6.46 Typical High $15.49 | Facility | 53 · Discontinued | $2.51 | $6.46 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $4.47 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $1.82 | $2.51 | $2.51 |
Where California sits
The same service costs 3.0 times more in Alaska 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
$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.