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 $38.02 Typical High $95.50 | Facility | None | $15.49 | $38.02 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.85 Typical High $20.89 | Professional | None | $13.80 | $15.85 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $43.65 Typical High $120.23 | Facility | None | $30.20 | $43.65 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $10.47 Typical High $35.48 | Professional | None | $9.77 | $10.47 | $35.48 |
Blue Shield Setting Facility Modifier None Typical Low $38.02 Median $104.71 Typical High $199.53 | Facility | None | $38.02 | $104.71 | $199.53 |
Blue Shield Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $21.38 | Professional | None | $8.13 | $11.75 | $21.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $31.62 | Professional | None | $19.50 | $19.50 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $37.15 Typical High $79.43 | Facility | None | $15.85 | $37.15 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $45.71 | Professional | None | $9.77 | $15.85 | $45.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.45 Median $26.92 Typical High $26.92 | Professional | None | $14.45 | $26.92 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $67.61 | Professional | None | $19.50 | $25.70 | $67.61 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $24.55 | Professional | None | $12.30 | $12.30 | $24.55 |
Providence Setting Facility Modifier None Typical Low $15.85 Median $28.18 Typical High $64.57 | Facility | None | $15.85 | $28.18 | $64.57 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $16.98 Typical High $48.98 | Professional | None | $9.77 | $16.98 | $48.98 |
Sutter Health Plus Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $24.55 | Facility | None | $10.23 | $10.23 | $24.55 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $56.23 | Professional | None | $7.76 | $11.22 | $56.23 |
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 $6.92 Median $7.94 Typical High $10.47 | Professional | 52 · Reduced service | $6.92 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.16 Typical High $4.17 | Professional | 53 · Discontinued | $2.75 | $3.16 | $4.17 |
Where California sits
The same service costs 4.3 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· 40th of 51
$17.38
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.