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 $16.98 Median $44.67 Typical High $104.71 | Facility | None | $16.98 | $44.67 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $17.38 Typical High $25.12 | Professional | None | $13.49 | $17.38 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $8.51 Typical High $15.14 | Professional | None | $7.76 | $8.51 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $83.18 | Facility | None | $20.89 | $30.20 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $32.36 | Professional | None | $7.08 | $10.23 | $32.36 |
Blue Shield Setting Facility Modifier None Typical Low $38.90 Median $117.49 Typical High $218.78 | Facility | None | $38.90 | $117.49 | $218.78 |
Blue Shield Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $22.91 | Professional | None | $8.91 | $12.88 | $22.91 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $21.88 | Professional | None | $13.49 | $13.49 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $56.23 | Facility | None | $11.75 | $25.70 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $17.38 Typical High $47.86 | Professional | None | $10.00 | $17.38 | $47.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $18.62 | Professional | None | $12.88 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $46.77 | Professional | None | $14.45 | $18.62 | $46.77 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $20.42 | Professional | None | $10.00 | $10.00 | $20.42 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $20.89 Typical High $51.29 | Facility | None | $12.59 | $20.89 | $51.29 |
Providence Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $38.90 | Professional | None | $10.00 | $16.98 | $38.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $16.98 | Facility | None | $7.08 | $7.08 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $39.81 | Professional | None | $7.08 | $10.00 | $39.81 |
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 $8.51 Median $21.88 Typical High $52.48 | Facility | 52 · Reduced service | $8.51 | $21.88 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $8.91 Typical High $21.38 | Facility | 53 · Discontinued | $3.39 | $8.91 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $6.61 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $2.63 | $3.47 | $3.47 |
Where California sits
The same service costs 3.5 times more in Alaska than in New York. 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· 21st of 51
$16.98
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.