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 $18.62 Median $47.86 Typical High $114.82 | Facility | None | $18.62 | $47.86 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $19.05 | Professional | None | $12.30 | $18.62 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $77.62 | Facility | None | $19.50 | $28.18 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $36.31 | Professional | None | $7.76 | $11.22 | $36.31 |
Blue Shield Setting Facility Modifier None Typical Low $39.81 Median $125.89 Typical High $239.88 | Facility | None | $39.81 | $125.89 | $239.88 |
Blue Shield Setting Professional Modifier None Typical Low $9.77 Median $14.13 Typical High $25.12 | Professional | None | $9.77 | $14.13 | $25.12 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $20.42 | Professional | None | $12.59 | $12.59 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $23.99 Typical High $54.95 | Facility | None | $10.96 | $23.99 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $16.98 Typical High $52.48 | Professional | None | $10.23 | $16.98 | $52.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.13 Median $17.38 Typical High $17.38 | Professional | None | $14.13 | $17.38 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $17.38 Typical High $44.67 | Professional | None | $13.49 | $17.38 | $44.67 |
Molina Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $15.85 | Professional | None | $7.94 | $7.94 | $15.85 |
Providence Setting Facility Modifier None Typical Low $13.18 Median $20.42 Typical High $51.29 | Facility | None | $13.18 | $20.42 | $51.29 |
Providence Setting Professional Modifier None Typical Low $10.47 Median $15.85 Typical High $39.81 | Professional | None | $10.47 | $15.85 | $39.81 |
Sutter Health Plus Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $15.85 | Facility | None | $6.61 | $6.61 | $15.85 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.55 Typical High $42.66 | Professional | None | $6.61 | $9.55 | $42.66 |
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 $9.33 Median $23.99 Typical High $57.54 | Facility | 52 · Reduced service | $9.33 | $23.99 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $9.55 Typical High $22.91 | Facility | 53 · Discontinued | $3.72 | $9.55 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $6.31 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $2.51 | $3.80 | $3.80 |
Where California sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 19th of 51
$16.60
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.