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 $10.23 Median $25.12 Typical High $63.10 | Facility | None | $10.23 | $25.12 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $10.72 | Professional | None | $6.31 | $10.23 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $6.17 Typical High $6.17 | Professional | None | $5.89 | $6.17 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $16.98 Typical High $43.65 | Facility | None | $10.96 | $16.98 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $6.31 Typical High $21.88 | Professional | None | $4.37 | $6.31 | $21.88 |
Blue Shield Setting Facility Modifier None Typical Low $22.39 Median $72.44 Typical High $131.83 | Facility | None | $22.39 | $72.44 | $131.83 |
Blue Shield Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $14.13 | Professional | None | $5.50 | $7.94 | $14.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $11.48 | Professional | None | $7.08 | $7.08 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $13.49 Typical High $30.90 | Facility | None | $6.31 | $13.49 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $29.51 | Professional | None | $5.75 | $9.55 | $29.51 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.94 Median $9.77 Typical High $9.77 | Professional | None | $7.94 | $9.77 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $25.12 | Professional | None | $7.59 | $9.77 | $25.12 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $10.72 | Professional | None | $5.37 | $5.37 | $10.72 |
Providence Setting Facility Modifier None Typical Low $7.41 Median $11.48 Typical High $29.51 | Facility | None | $7.41 | $11.48 | $29.51 |
Providence Setting Professional Modifier None Typical Low $5.89 Median $8.91 Typical High $22.91 | Professional | None | $5.89 | $8.91 | $22.91 |
Sutter Health Plus Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
United Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $8.91 | Facility | None | $3.72 | $3.72 | $8.91 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $23.99 | Professional | None | $3.72 | $5.37 | $23.99 |
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 $5.13 Median $13.49 Typical High $31.62 | Facility | 52 · Reduced service | $5.13 | $13.49 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $5.50 Typical High $12.59 | Facility | 53 · Discontinued | $2.04 | $5.50 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $3.63 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $1.45 | $2.14 | $2.14 |
Where California sits
The same service costs 4.5 times more in Kansas 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· 26th of 51
$9.12
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.