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 $36.31 Typical High $91.20 | Facility | None | $14.45 | $36.31 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $14.79 Typical High $17.38 | Professional | None | $9.55 | $14.79 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.51 Typical High $8.51 | Professional | None | $8.32 | $8.51 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $22.39 Typical High $61.66 | Facility | None | $15.14 | $22.39 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $33.88 | Professional | None | $6.17 | $8.51 | $33.88 |
Blue Shield Setting Facility Modifier None Typical Low $31.62 Median $100.00 Typical High $186.21 | Facility | None | $31.62 | $100.00 | $186.21 |
Blue Shield Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $19.95 | Professional | None | $7.76 | $10.96 | $19.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $16.22 | Professional | None | $10.00 | $10.00 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $18.62 Typical High $42.66 | Facility | None | $8.71 | $18.62 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $13.49 Typical High $40.74 | Professional | None | $8.13 | $13.49 | $40.74 |
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 $7.41 Median $7.41 Typical High $14.79 | Professional | None | $7.41 | $7.41 | $14.79 |
Providence Setting Facility Modifier None Typical Low $10.23 Median $16.22 Typical High $40.74 | Facility | None | $10.23 | $16.22 | $40.74 |
Providence Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $30.90 | Professional | None | $8.13 | $12.30 | $30.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $12.30 | Facility | None | $5.25 | $5.25 | $12.30 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.41 Typical High $33.11 | Professional | None | $5.25 | $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 $7.24 Median $19.05 Typical High $44.67 | Facility | 52 · Reduced service | $7.24 | $19.05 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $7.59 Typical High $18.20 | Facility | 53 · Discontinued | $2.88 | $7.59 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $5.01 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.00 | $2.95 | $2.95 |
Where California sits
The same service costs 8.5 times more in Vermont 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· 21st of 51
$13.18
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.