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 $13.18 Median $34.67 Typical High $83.18 | Facility | None | $13.18 | $34.67 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $13.49 | Professional | None | $9.12 | $13.49 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $56.23 | Facility | None | $13.80 | $20.42 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $40.74 | Professional | None | $5.62 | $7.76 | $40.74 |
Blue Shield Setting Facility Modifier None Typical Low $28.84 Median $91.20 Typical High $169.82 | Facility | None | $28.84 | $91.20 | $169.82 |
Blue Shield Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $18.20 | Professional | None | $7.08 | $10.00 | $18.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $14.79 | Professional | None | $9.12 | $9.12 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $16.98 Typical High $38.90 | Facility | None | $7.94 | $16.98 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $37.15 | Professional | None | $7.41 | $12.30 | $37.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $12.30 Typical High $12.30 | Professional | None | $10.00 | $12.30 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $31.62 | Professional | None | $9.55 | $11.75 | $31.62 |
Molina Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $11.22 | Professional | None | $5.62 | $5.62 | $11.22 |
Providence Setting Facility Modifier None Typical Low $9.12 Median $14.13 Typical High $33.88 | Facility | None | $9.12 | $14.13 | $33.88 |
Providence Setting Professional Modifier None Typical Low $7.41 Median $11.22 Typical High $28.84 | Professional | None | $7.41 | $11.22 | $28.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $30.20 | Professional | None | $4.79 | $6.76 | $30.20 |
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 $6.61 Median $17.38 Typical High $40.74 | Facility | 52 · Reduced service | $6.61 | $17.38 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.63 Median $6.92 Typical High $16.60 | Facility | 53 · Discontinued | $2.63 | $6.92 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $4.47 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $1.82 | $2.69 | $2.69 |
Where California sits
The same service costs 3.5 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· 20th of 51
$12.59
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.