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 $4.47 Median $10.47 Typical High $27.54 | Facility | None | $4.47 | $10.47 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $4.47 Typical High $5.37 | Professional | None | $3.47 | $4.47 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.51 | Professional | None | $2.34 | $2.34 | $2.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $7.24 Typical High $19.05 | Facility | None | $4.68 | $7.24 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.69 Typical High $14.79 | Professional | None | $1.91 | $2.69 | $14.79 |
Blue Shield Setting Facility Modifier None Typical Low $17.78 Median $39.81 Typical High $75.86 | Facility | None | $17.78 | $39.81 | $75.86 |
Blue Shield Setting Professional Modifier None Typical Low $2.34 Median $3.39 Typical High $6.03 | Professional | None | $2.34 | $3.39 | $6.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $5.01 | Professional | None | $3.09 | $3.09 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $5.75 Typical High $13.18 | Facility | None | $2.69 | $5.75 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $12.88 | Professional | None | $2.51 | $4.07 | $12.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.39 Median $4.17 Typical High $4.17 | Professional | None | $3.39 | $4.17 | $4.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.24 Median $4.17 Typical High $10.72 | Professional | None | $3.24 | $4.17 | $10.72 |
Molina Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $4.57 | Professional | None | $2.29 | $2.29 | $4.57 |
Providence Setting Facility Modifier None Typical Low $3.16 Median $4.90 Typical High $12.30 | Facility | None | $3.16 | $4.90 | $12.30 |
Providence Setting Professional Modifier None Typical Low $2.51 Median $3.80 Typical High $9.77 | Professional | None | $2.51 | $3.80 | $9.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
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 $1.62 Median $2.29 Typical High $10.23 | Professional | None | $1.62 | $2.29 | $10.23 |
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 $2.24 Median $5.75 Typical High $13.80 | Facility | 52 · Reduced service | $2.24 | $5.75 | $13.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.89 Median $2.34 Typical High $5.62 | Facility | 53 · Discontinued | $0.89 | $2.34 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $2.29 Typical High $2.29 | Professional | 52 · Reduced service | $1.62 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.91 Typical High $0.91 | Professional | 53 · Discontinued | $0.65 | $0.91 | $0.91 |
Where California sits
The same service costs 4.2 times more in Kansas 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· 24th of 51
$4.17
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.