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 $10.96 Median $36.31 Typical High $79.43 | Facility | None | $10.96 | $36.31 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $14.79 Typical High $15.85 | Professional | None | $9.77 | $14.79 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $28.84 Typical High $79.43 | Facility | None | $19.95 | $28.84 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $23.99 | Professional | None | $6.46 | $9.77 | $23.99 |
Blue Shield Setting Facility Modifier None Typical Low $26.92 Median $75.86 Typical High $141.25 | Facility | None | $26.92 | $75.86 | $141.25 |
Blue Shield Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $19.95 | Professional | None | $8.13 | $11.75 | $19.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $20.89 | Professional | None | $12.88 | $12.88 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $24.55 Typical High $53.70 | Facility | None | $10.96 | $24.55 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $43.65 | Professional | None | $8.71 | $14.45 | $43.65 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $17.78 | Professional | None | $12.30 | $17.78 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $17.78 Typical High $45.71 | Professional | None | $13.80 | $17.78 | $45.71 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $19.50 | Professional | None | $9.77 | $9.77 | $19.50 |
Providence Setting Facility Modifier None Typical Low $12.02 Median $19.50 Typical High $43.65 | Facility | None | $12.02 | $19.50 | $43.65 |
Providence Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $33.11 | Professional | None | $9.12 | $14.79 | $33.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
United Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $16.22 | Facility | None | $6.76 | $6.76 | $16.22 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $37.15 | Professional | None | $6.76 | $9.77 | $37.15 |
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 $5.37 Median $18.20 Typical High $39.81 | Facility | 52 · Reduced service | $5.37 | $18.20 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $7.24 Typical High $15.85 | Facility | 53 · Discontinued | $2.19 | $7.24 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $4.90 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $1.95 | $3.16 | $3.16 |
Where California sits
The same service costs 3.4 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· 30th of 51
$14.45
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.