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 $22.91 Median $60.26 Typical High $141.25 | Facility | None | $22.91 | $60.26 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $33.11 | Professional | None | $19.50 | $23.44 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $13.18 | Professional | None | $9.77 | $9.77 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $35.48 Typical High $97.72 | Facility | None | $23.99 | $35.48 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $42.66 | Professional | None | $9.77 | $13.80 | $42.66 |
Blue Shield Setting Facility Modifier None Typical Low $46.77 Median $158.49 Typical High $295.12 | Facility | None | $46.77 | $158.49 | $295.12 |
Blue Shield Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $31.62 | Professional | None | $12.02 | $17.38 | $31.62 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $25.70 | Professional | None | $15.85 | $15.85 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $29.51 Typical High $67.61 | Facility | None | $13.80 | $29.51 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $20.89 Typical High $74.13 | Professional | None | $12.59 | $20.89 | $74.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $21.38 | Professional | None | $17.38 | $21.38 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $54.95 | Professional | None | $16.60 | $21.38 | $54.95 |
Molina Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $23.44 | Professional | None | $11.75 | $11.75 | $23.44 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $24.55 Typical High $58.88 | Facility | None | $16.22 | $24.55 | $58.88 |
Providence Setting Professional Modifier None Typical Low $12.59 Median $19.50 Typical High $48.98 | Professional | None | $12.59 | $19.50 | $48.98 |
Sutter Health Plus Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $19.50 | Facility | None | $8.32 | $8.32 | $19.50 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $52.48 | Professional | None | $8.32 | $11.75 | $52.48 |
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 $11.48 Median $29.51 Typical High $70.79 | Facility | 52 · Reduced service | $11.48 | $29.51 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $12.02 Typical High $28.84 | Facility | 53 · Discontinued | $4.57 | $12.02 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $8.32 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $3.31 | $4.68 | $4.68 |
Where California sits
The same service costs 4.6 times more in Kansas than in Alabama. 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· 18th of 51
$22.91
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.