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 $12.02 Median $31.62 Typical High $75.86 | Facility | None | $12.02 | $31.62 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $12.02 Typical High $12.30 | Professional | None | $9.33 | $12.02 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $25.12 Typical High $69.18 | Facility | None | $17.38 | $25.12 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $34.67 | Professional | None | $5.62 | $7.94 | $34.67 |
Blue Shield Setting Facility Modifier None Typical Low $29.51 Median $85.11 Typical High $158.49 | Facility | None | $29.51 | $85.11 | $158.49 |
Blue Shield Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $16.98 | Professional | None | $6.46 | $9.12 | $16.98 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $18.62 | Professional | None | $11.22 | $11.22 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $21.38 Typical High $46.77 | Facility | None | $9.55 | $21.38 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $11.22 Typical High $34.67 | Professional | None | $7.59 | $11.22 | $34.67 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $15.49 | Professional | None | $11.22 | $15.49 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $38.90 | Professional | None | $12.02 | $14.79 | $38.90 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $16.98 | Professional | None | $8.51 | $8.51 | $16.98 |
Providence Setting Facility Modifier None Typical Low $10.00 Median $16.98 Typical High $37.15 | Facility | None | $10.00 | $16.98 | $37.15 |
Providence Setting Professional Modifier None Typical Low $7.59 Median $12.88 Typical High $28.18 | Professional | None | $7.59 | $12.88 | $28.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $14.13 | Facility | None | $5.89 | $5.89 | $14.13 |
United Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $33.11 | Professional | None | $5.89 | $7.76 | $33.11 |
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 $6.03 Median $15.85 Typical High $38.02 | Facility | 52 · Reduced service | $6.03 | $15.85 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $6.31 Typical High $15.14 | Facility | 53 · Discontinued | $2.45 | $6.31 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $5.37 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.14 | $2.51 | $2.51 |
Where California sits
The same service costs 3.4 times more in Alaska 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· 28th of 51
$12.30
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.