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 $9.12 Median $22.39 Typical High $56.23 | Facility | None | $9.12 | $22.39 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $9.33 Typical High $18.20 | Professional | None | $6.17 | $9.33 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $13.80 Typical High $38.02 | Facility | None | $9.55 | $13.80 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $22.91 | Professional | None | $3.80 | $5.50 | $22.91 |
Blue Shield Setting Facility Modifier None Typical Low $27.54 Median $70.79 Typical High $120.23 | Facility | None | $27.54 | $70.79 | $120.23 |
Blue Shield Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $12.30 | Professional | None | $4.79 | $6.92 | $12.30 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $10.00 | Professional | None | $6.17 | $6.17 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $11.75 Typical High $25.70 | Facility | None | $5.37 | $11.75 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $25.70 | Professional | None | $5.01 | $8.51 | $25.70 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.25 Median $8.51 Typical High $8.51 | Professional | None | $5.25 | $8.51 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $21.88 | Professional | None | $6.61 | $8.51 | $21.88 |
Molina Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $9.33 | Professional | None | $4.68 | $4.68 | $9.33 |
Providence Setting Facility Modifier None Typical Low $6.46 Median $10.00 Typical High $25.12 | Facility | None | $6.46 | $10.00 | $25.12 |
Providence Setting Professional Modifier None Typical Low $5.13 Median $7.76 Typical High $19.50 | Professional | None | $5.13 | $7.76 | $19.50 |
Sutter Health Plus Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $20.89 | Professional | None | $3.24 | $4.68 | $20.89 |
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 $4.57 Median $11.75 Typical High $28.18 | Facility | 52 · Reduced service | $4.57 | $11.75 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $4.68 Typical High $11.22 | Facility | 53 · Discontinued | $1.82 | $4.68 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $3.16 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.26 | $1.86 | $1.86 |
Where California sits
The same service costs 5.2 times more in Kansas than in New Jersey. 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· 23rd of 51
$8.13
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.