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 $14.79 Median $38.90 Typical High $93.33 | Facility | None | $14.79 | $38.90 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $14.79 Typical High $15.14 | Professional | None | $9.55 | $14.79 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $8.71 Typical High $8.71 | Professional | None | $7.76 | $8.71 | $8.71 |
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 $6.31 Median $8.91 Typical High $28.84 | Professional | None | $6.31 | $8.91 | $28.84 |
Blue Shield Setting Facility Modifier None Typical Low $32.36 Median $102.33 Typical High $190.55 | Facility | None | $32.36 | $102.33 | $190.55 |
Blue Shield Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $20.42 | Professional | None | $7.94 | $11.22 | $20.42 |
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 $8.91 Median $19.05 Typical High $43.65 | Facility | None | $8.91 | $19.05 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $13.80 Typical High $41.69 | Professional | None | $8.32 | $13.80 | $41.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $13.80 | Professional | None | $11.22 | $13.80 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $33.88 | Professional | None | $10.72 | $13.18 | $33.88 |
Molina Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $15.14 | Professional | None | $7.59 | $7.59 | $15.14 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $15.85 Typical High $40.74 | Facility | None | $10.47 | $15.85 | $40.74 |
Providence Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $31.62 | Professional | None | $8.32 | $12.59 | $31.62 |
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 $5.37 Median $5.37 Typical High $12.59 | Facility | None | $5.37 | $5.37 | $12.59 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $33.88 | Professional | None | $5.37 | $7.59 | $33.88 |
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 $7.41 Median $19.50 Typical High $46.77 | Facility | 52 · Reduced service | $7.41 | $19.50 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.95 Median $7.76 Typical High $18.62 | Facility | 53 · Discontinued | $2.95 | $7.76 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $5.37 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $3.02 Typical High $3.02 | Professional | 53 · Discontinued | $2.14 | $3.02 | $3.02 |
Where California sits
The same service costs 4.7 times more in Kansas than in Nebraska. 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· 29th of 51
$12.59
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.