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 $13.49 Median $31.62 Typical High $85.11 | Facility | None | $13.49 | $31.62 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $17.38 | Professional | None | $9.33 | $13.80 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $5.75 Typical High $7.94 | Professional | None | $5.37 | $5.75 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $57.54 | Facility | None | $14.13 | $20.89 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $26.30 | Professional | None | $5.75 | $8.13 | $26.30 |
Blue Shield Setting Facility Modifier None Typical Low $29.51 Median $93.33 Typical High $173.78 | Facility | None | $29.51 | $93.33 | $173.78 |
Blue Shield Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $18.62 | Professional | None | $7.24 | $10.23 | $18.62 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $15.14 | Professional | None | $9.33 | $9.33 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $17.38 Typical High $39.81 | Facility | None | $8.13 | $17.38 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $38.02 | Professional | None | $7.59 | $12.59 | $38.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.68 Median $12.59 Typical High $12.59 | Professional | None | $4.68 | $12.59 | $12.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $32.36 | Professional | None | $9.77 | $12.59 | $32.36 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $13.80 | Professional | None | $6.92 | $6.92 | $13.80 |
Providence Setting Facility Modifier None Typical Low $9.55 Median $14.45 Typical High $36.31 | Facility | None | $9.55 | $14.45 | $36.31 |
Providence Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $29.51 | Professional | None | $7.59 | $11.48 | $29.51 |
Sutter Health Plus Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
United Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $11.48 | Facility | None | $4.90 | $4.90 | $11.48 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $30.90 | Professional | None | $4.90 | $6.92 | $30.90 |
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 $6.76 Median $17.78 Typical High $41.69 | Facility | 52 · Reduced service | $6.76 | $17.78 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $7.08 Typical High $16.98 | Facility | 53 · Discontinued | $2.69 | $7.08 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $4.90 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $1.95 | $2.75 | $2.75 |
Where California sits
The same service costs 3.2 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· 25th 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.