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 $45.71 Median $120.23 Typical High $288.40 | Facility | None | $45.71 | $120.23 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $67.61 | Professional | None | $41.69 | $47.86 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $141.25 Typical High $389.05 | Facility | None | $97.72 | $141.25 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $102.33 | Professional | None | $28.84 | $31.62 | $102.33 |
Blue Shield Setting Facility Modifier None Typical Low $83.18 Median $316.23 Typical High $602.56 | Facility | None | $83.18 | $316.23 | $602.56 |
Blue Shield Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $64.57 | Professional | None | $24.55 | $34.67 | $64.57 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $100.00 | Professional | None | $63.10 | $63.10 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $120.23 Typical High $263.03 | Facility | None | $48.98 | $120.23 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $147.91 | Professional | None | $28.84 | $47.86 | $147.91 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $87.10 Typical High $87.10 | Professional | None | $38.02 | $87.10 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $218.78 | Professional | None | $67.61 | $87.10 | $218.78 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $79.43 | Professional | None | $38.90 | $38.90 | $79.43 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $81.28 Typical High $204.17 | Facility | None | $40.74 | $81.28 | $204.17 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $51.29 Typical High $158.49 | Professional | None | $28.84 | $51.29 | $158.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $79.43 | Facility | None | $33.11 | $33.11 | $79.43 |
United Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $181.97 | Professional | None | $23.44 | $35.48 | $181.97 |
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 $22.91 Median $60.26 Typical High $144.54 | Facility | 52 · Reduced service | $22.91 | $60.26 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $23.99 Typical High $57.54 | Facility | 53 · Discontinued | $9.33 | $23.99 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $23.44 Typical High $33.88 | Professional | 52 · Reduced service | $20.89 | $23.44 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.55 Typical High $13.49 | Professional | 53 · Discontinued | $8.32 | $9.55 | $13.49 |
Where California sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 46th of 51
$50.12
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.