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 $20.42 Median $52.48 Typical High $123.03 | Facility | None | $20.42 | $52.48 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $20.89 | Professional | None | $17.78 | $20.42 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $165.96 Typical High $173.78 | Facility | None | $12.59 | $165.96 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $20.89 | Professional | None | $12.30 | $12.30 | $20.89 |
Blue Shield Setting Facility Modifier None Typical Low $36.31 Median $104.71 Typical High $177.83 | Facility | None | $36.31 | $104.71 | $177.83 |
Blue Shield Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $21.88 | Professional | None | $10.96 | $15.49 | $21.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $34.67 | Professional | None | $17.78 | $17.78 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $1.95 Median $50.12 Typical High $104.71 | Facility | None | $1.95 | $50.12 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $19.50 Typical High $39.81 | Professional | None | $10.47 | $19.50 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.89 | Professional | None | $17.38 | $17.38 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $112.20 Typical High $407.38 | Professional | None | $43.65 | $112.20 | $407.38 |
Lucent Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
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 $1.62 Median $19.05 Typical High $87.10 | Facility | None | $1.62 | $19.05 | $87.10 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $18.20 Typical High $39.81 | Professional | None | $9.77 | $18.20 | $39.81 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $147.91 | Facility | None | $97.72 | $97.72 | $147.91 |
United Setting Professional Modifier None Typical Low $6.92 Median $12.59 Typical High $24.55 | Professional | None | $6.92 | $12.59 | $24.55 |
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 $10.23 Median $26.30 Typical High $61.66 | Facility | 52 · Reduced service | $10.23 | $26.30 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $10.47 Typical High $24.55 | Facility | 53 · Discontinued | $4.07 | $10.47 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $10.23 Typical High $10.47 | Professional | 52 · Reduced service | $8.91 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.07 Typical High $4.17 | Professional | 53 · Discontinued | $3.55 | $4.07 | $4.17 |
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· 33rd of 51
$15.49
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.