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 $13.80 Median $34.67 Typical High $81.28 | Facility | None | $13.80 | $34.67 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $14.13 | Professional | None | $11.75 | $13.80 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $741.31 Typical High $758.58 | Facility | None | $8.51 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $12.59 | Professional | None | $8.32 | $8.32 | $12.59 |
Blue Shield Setting Facility Modifier None Typical Low $28.84 Median $79.43 Typical High $138.04 | Facility | None | $28.84 | $79.43 | $138.04 |
Blue Shield Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $14.79 | Professional | None | $7.41 | $10.47 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $1.26 Median $14.79 Typical High $70.79 | Facility | None | $1.26 | $14.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $13.49 Typical High $27.54 | Professional | None | $7.08 | $13.49 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $28.84 Typical High $407.38 | Professional | None | $14.13 | $28.84 | $407.38 |
Lucent Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $1.12 Median $13.18 Typical High $60.26 | Facility | None | $1.12 | $13.18 | $60.26 |
Providence Setting Professional Modifier None Typical Low $6.61 Median $12.30 Typical High $27.54 | Professional | None | $6.61 | $12.30 | $27.54 |
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 $4.47 Median $8.71 Typical High $16.60 | Professional | None | $4.47 | $8.71 | $16.60 |
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 $6.92 Median $17.38 Typical High $40.74 | Facility | 52 · Reduced service | $6.92 | $17.38 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.75 Median $6.92 Typical High $16.60 | Facility | 53 · Discontinued | $2.75 | $6.92 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $6.92 Typical High $7.08 | Professional | 52 · Reduced service | $5.89 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.75 Typical High $2.82 | Professional | 53 · Discontinued | $2.34 | $2.75 | $2.82 |
Where California sits
The same service costs 9.3 times more in Alaska 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· 39th of 51
$10.47
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.