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 $21.88 Median $54.95 Typical High $131.83 | Facility | None | $21.88 | $54.95 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $26.30 | Professional | None | $16.60 | $21.88 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $741.31 Typical High $758.58 | Facility | None | $13.80 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $58.88 | Professional | None | $13.49 | $15.85 | $58.88 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $138.04 Typical High $245.47 | Facility | None | $48.98 | $138.04 | $245.47 |
Blue Shield Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $31.62 | Professional | None | $14.79 | $21.38 | $31.62 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $42.66 | Professional | None | $20.42 | $20.42 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $23.44 Typical High $107.15 | Facility | None | $3.02 | $23.44 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $19.50 Typical High $57.54 | Professional | None | $10.72 | $19.50 | $57.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | None | $19.95 | $19.95 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $89.13 Typical High $407.38 | Professional | None | $26.92 | $89.13 | $407.38 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $28.84 | Professional | None | $14.45 | $14.45 | $28.84 |
Providence Setting Facility Modifier None Typical Low $2.04 Median $26.92 Typical High $74.13 | Facility | None | $2.04 | $26.92 | $74.13 |
Providence Setting Professional Modifier None Typical Low $10.72 Median $17.38 Typical High $57.54 | Professional | None | $10.72 | $17.38 | $57.54 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $426.58 | Facility | None | $281.84 | $281.84 | $426.58 |
United Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $100.00 | Professional | None | $8.32 | $14.79 | $100.00 |
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 $10.96 Median $27.54 Typical High $66.07 | Facility | 52 · Reduced service | $10.96 | $27.54 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $11.22 Typical High $26.30 | Facility | 53 · Discontinued | $4.37 | $11.22 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $10.96 Typical High $13.18 | Professional | 52 · Reduced service | $9.33 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.37 Typical High $5.25 | Professional | 53 · Discontinued | $3.80 | $4.37 | $5.25 |
Where California sits
The same service costs 11.2 times more in Texas 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· 27th of 51
$21.38
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.