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 $26.30 Median $60.26 Typical High $154.88 | Facility | None | $26.30 | $60.26 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $30.20 | Professional | None | $22.39 | $26.30 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $741.31 Typical High $758.58 | Facility | None | $16.22 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $74.13 | Professional | None | $15.85 | $15.85 | $74.13 |
Blue Shield Setting Facility Modifier None Typical Low $38.02 Median $87.10 Typical High $147.91 | Facility | None | $38.02 | $87.10 | $147.91 |
Blue Shield Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $19.05 | Professional | None | $9.12 | $12.88 | $19.05 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $1.62 Median $24.55 Typical High $117.49 | Facility | None | $1.62 | $24.55 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $70.79 | Professional | None | $13.49 | $20.89 | $70.79 |
Contra Costa Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $151.36 Typical High $407.38 | Professional | None | $47.86 | $151.36 | $407.38 |
Providence Setting Facility Modifier None Typical Low $2.45 Median $25.12 Typical High $95.50 | Facility | None | $2.45 | $25.12 | $95.50 |
Providence Setting Professional Modifier None Typical Low $13.49 Median $19.95 Typical High $70.79 | Professional | None | $13.49 | $19.95 | $70.79 |
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 $9.77 Median $16.22 Typical High $117.49 | Professional | None | $9.77 | $16.22 | $117.49 |
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 $13.18 Median $33.11 Typical High $77.62 | Facility | 52 · Reduced service | $13.18 | $33.11 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $13.18 Typical High $30.90 | Facility | 53 · Discontinued | $5.25 | $13.18 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $13.18 Typical High $15.49 | Professional | 52 · Reduced service | $11.22 | $13.18 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.25 Typical High $6.31 | Professional | 53 · Discontinued | $4.47 | $5.25 | $6.31 |
Where California sits
The same service costs 8.5 times more in Alaska 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· 48th of 51
$19.50
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.