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 $17.78 Median $45.71 Typical High $107.15 | Facility | None | $17.78 | $45.71 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $18.62 | Professional | None | $15.49 | $17.78 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $741.31 Typical High $758.58 | Facility | None | $10.96 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $28.18 | Professional | None | $10.72 | $10.72 | $28.18 |
Blue Shield Setting Facility Modifier None Typical Low $44.67 Median $147.91 Typical High $263.03 | Facility | None | $44.67 | $147.91 | $263.03 |
Blue Shield Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $28.84 | Professional | None | $14.13 | $19.95 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $1.70 Median $44.67 Typical High $91.20 | Facility | None | $1.70 | $44.67 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $17.78 Typical High $35.48 | Professional | None | $9.33 | $17.78 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $87.10 Typical High $407.38 | Professional | None | $40.74 | $87.10 | $407.38 |
Lucent Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
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 $1.48 Median $19.95 Typical High $77.62 | Facility | None | $1.48 | $19.95 | $77.62 |
Providence Setting Professional Modifier None Typical Low $9.33 Median $17.78 Typical High $35.48 | Professional | None | $9.33 | $17.78 | $35.48 |
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 $6.92 Median $11.22 Typical High $21.38 | Professional | None | $6.92 | $11.22 | $21.38 |
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 $8.91 Median $22.91 Typical High $53.70 | Facility | 52 · Reduced service | $8.91 | $22.91 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $9.12 Typical High $21.38 | Facility | 53 · Discontinued | $3.63 | $9.12 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $8.91 Typical High $9.33 | Professional | 52 · Reduced service | $7.76 | $8.91 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.63 Typical High $3.72 | Professional | 53 · Discontinued | $3.09 | $3.63 | $3.72 |
Where California sits
The same service costs 14.8 times more in Alaska than in Kentucky. 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· 29th 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.