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 $15.49 Median $39.81 Typical High $95.50 | Facility | None | $15.49 | $39.81 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $15.85 | Professional | None | $11.75 | $15.85 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $26.92 Typical High $74.13 | Facility | None | $18.62 | $26.92 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $29.51 | Professional | None | $6.46 | $9.33 | $29.51 |
Blue Shield Setting Facility Modifier None Typical Low $35.48 Median $104.71 Typical High $199.53 | Facility | None | $35.48 | $104.71 | $199.53 |
Blue Shield Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $20.89 | Professional | None | $8.13 | $11.75 | $20.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $19.50 | Professional | None | $12.02 | $12.02 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $22.91 Typical High $50.12 | Facility | None | $10.00 | $22.91 | $50.12 |
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 $12.02 Median $16.60 Typical High $16.60 | Professional | None | $12.02 | $16.60 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $41.69 | Professional | None | $12.88 | $15.49 | $41.69 |
Molina Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $15.14 | Professional | None | $7.59 | $7.59 | $15.14 |
Providence Setting Facility Modifier None Typical Low $11.22 Median $18.20 Typical High $43.65 | Facility | None | $11.22 | $18.20 | $43.65 |
Providence Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $33.11 | Professional | None | $8.91 | $14.45 | $33.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
United Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $15.14 | Facility | None | $6.31 | $6.31 | $15.14 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $36.31 | Professional | None | $6.31 | $8.91 | $36.31 |
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 $7.76 Median $19.95 Typical High $47.86 | Facility | 52 · Reduced service | $7.76 | $19.95 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $7.94 Typical High $19.05 | Facility | 53 · Discontinued | $3.09 | $7.94 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $5.89 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.34 | $3.16 | $3.16 |
Where California sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 20th of 51
$15.14
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.