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 $30.20 Median $69.18 Typical High $181.97 | Facility | None | $30.20 | $69.18 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $39.81 | Professional | None | $25.70 | $30.90 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $46.77 | Professional | None | $27.54 | $27.54 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $1,445.44 Typical High $1,479.11 | Facility | None | $18.62 | $1,445.44 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $56.23 | Professional | None | $18.20 | $20.89 | $56.23 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $245.47 Typical High $436.52 | Facility | None | $57.54 | $245.47 | $436.52 |
Blue Shield Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $56.23 | Professional | None | $26.30 | $37.15 | $56.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $35.48 | Professional | None | $16.98 | $16.98 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $30.90 Typical High $154.88 | Facility | None | $2.82 | $30.90 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $26.92 Typical High $85.11 | Professional | None | $15.49 | $26.92 | $85.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | None | $16.60 | $16.60 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $67.61 Typical High $407.38 | Professional | None | $28.18 | $67.61 | $407.38 |
Molina Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $11.22 | Professional | None | $5.50 | $5.50 | $11.22 |
Providence Setting Facility Modifier None Typical Low $2.82 Median $31.62 Typical High $109.65 | Facility | None | $2.82 | $31.62 | $109.65 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $24.55 Typical High $87.10 | Professional | None | $16.22 | $24.55 | $87.10 |
United Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $912.01 | Facility | None | $588.84 | $588.84 | $912.01 |
United Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $138.04 | Professional | None | $12.02 | $20.42 | $138.04 |
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 $15.14 Median $38.02 Typical High $89.13 | Facility | 52 · Reduced service | $15.14 | $38.02 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $15.14 Typical High $35.48 | Facility | 53 · Discontinued | $6.03 | $15.14 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $15.14 Typical High $17.78 | Professional | 52 · Reduced service | $12.88 | $15.14 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.03 Typical High $7.24 | Professional | 53 · Discontinued | $5.13 | $6.03 | $7.24 |
Where California sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 26th of 51
$30.90
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.