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 $14.45 Median $37.15 Typical High $89.13 | Facility | None | $14.45 | $37.15 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $14.79 | Professional | None | $8.91 | $14.45 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $21.88 Typical High $60.26 | Facility | None | $15.14 | $21.88 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $33.88 | Professional | None | $6.03 | $8.71 | $33.88 |
Blue Shield Setting Facility Modifier None Typical Low $31.62 Median $97.72 Typical High $186.21 | Facility | None | $31.62 | $97.72 | $186.21 |
Blue Shield Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $19.50 | Professional | None | $7.59 | $10.96 | $19.50 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $15.85 | Professional | None | $9.77 | $9.77 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $18.62 Typical High $42.66 | Facility | None | $8.51 | $18.62 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $13.18 Typical High $39.81 | Professional | None | $7.94 | $13.18 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $13.49 | Professional | None | $10.96 | $13.49 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.47 Median $13.49 Typical High $34.67 | Professional | None | $10.47 | $13.49 | $34.67 |
Molina Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $12.30 | Professional | None | $6.17 | $6.17 | $12.30 |
Providence Setting Facility Modifier None Typical Low $9.77 Median $15.85 Typical High $40.74 | Facility | None | $9.77 | $15.85 | $40.74 |
Providence Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $30.20 | Professional | None | $8.13 | $12.30 | $30.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $12.30 | Facility | None | $5.13 | $5.13 | $12.30 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $33.11 | Professional | None | $5.13 | $7.41 | $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 $7.08 Median $18.62 Typical High $44.67 | Facility | 52 · Reduced service | $7.08 | $18.62 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $7.41 Typical High $17.78 | Facility | 53 · Discontinued | $2.88 | $7.41 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $4.90 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $1.95 | $2.95 | $2.95 |
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· 22nd 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.