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 $12.88 Median $33.88 Typical High $81.28 | Facility | None | $12.88 | $33.88 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $13.18 | Professional | None | $10.00 | $13.18 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $22.91 Typical High $63.10 | Facility | None | $15.49 | $22.91 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $7.76 Typical High $25.70 | Professional | None | $5.50 | $7.76 | $25.70 |
Blue Shield Setting Facility Modifier None Typical Low $29.51 Median $89.13 Typical High $165.96 | Facility | None | $29.51 | $89.13 | $165.96 |
Blue Shield Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $17.78 | Professional | None | $6.92 | $9.77 | $17.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $16.60 | Professional | None | $10.23 | $10.23 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $19.05 Typical High $42.66 | Facility | None | $8.51 | $19.05 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $36.31 | Professional | None | $7.24 | $12.02 | $36.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.23 Median $13.80 Typical High $13.80 | Professional | None | $10.23 | $13.80 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $33.88 | Professional | None | $10.23 | $13.18 | $33.88 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $12.59 | Professional | None | $6.31 | $6.31 | $12.59 |
Providence Setting Facility Modifier None Typical Low $9.55 Median $15.14 Typical High $36.31 | Facility | None | $9.55 | $15.14 | $36.31 |
Providence Setting Professional Modifier None Typical Low $7.41 Median $12.02 Typical High $28.18 | Professional | None | $7.41 | $12.02 | $28.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $30.20 | Professional | None | $5.37 | $7.59 | $30.20 |
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 $6.46 Median $16.98 Typical High $39.81 | Facility | 52 · Reduced service | $6.46 | $16.98 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $6.76 Typical High $16.22 | Facility | 53 · Discontinued | $2.57 | $6.76 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $4.90 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.00 | $2.63 | $2.63 |
Where California sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$12.88
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.