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 $2.82 Median $5.75 Typical High $20.42 | Facility | None | $2.82 | $5.75 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $3.39 Typical High $6.61 | Professional | None | $1.95 | $3.39 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $8.91 Typical High $23.44 | Facility | None | $5.89 | $8.91 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $2.34 Typical High $6.92 | Professional | None | $2.04 | $2.34 | $6.92 |
Blue Shield Setting Facility Modifier None Typical Low $8.32 Median $26.30 Typical High $47.86 | Facility | None | $8.32 | $26.30 | $47.86 |
Blue Shield Setting Professional Modifier None Typical Low $1.00 Median $1.41 Typical High $2.82 | Professional | None | $1.00 | $1.41 | $2.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1.35 Median $3.80 Typical High $4.27 | Professional | None | $1.35 | $3.80 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $7.24 Typical High $16.22 | Facility | None | $3.31 | $7.24 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $5.25 Typical High $15.14 | Professional | None | $3.09 | $5.25 | $15.14 |
Contra Costa Health Setting Professional Modifier None Typical Low $1.20 Median $5.25 Typical High $5.25 | Professional | None | $1.20 | $5.25 | $5.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $12.59 | Professional | None | $4.07 | $5.25 | $12.59 |
Molina Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $5.75 | Professional | None | $2.82 | $2.82 | $5.75 |
Providence Setting Facility Modifier None Typical Low $3.80 Median $5.75 Typical High $15.49 | Facility | None | $3.80 | $5.75 | $15.49 |
Providence Setting Professional Modifier None Typical Low $2.88 Median $4.37 Typical High $11.75 | Professional | None | $2.88 | $4.37 | $11.75 |
Sutter Health Plus Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
United Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $4.79 | Facility | None | $2.00 | $2.00 | $4.79 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.82 Typical High $12.88 | Professional | None | $2.00 | $2.82 | $12.88 |
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 $1.15 Median $3.16 Typical High $10.23 | Facility | 52 · Reduced service | $1.15 | $3.16 | $10.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.46 Median $1.26 Typical High $4.07 | Facility | 53 · Discontinued | $0.46 | $1.26 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.98 Median $1.51 Typical High $2.14 | Professional | 52 · Reduced service | $0.98 | $1.51 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.39 Median $0.62 Typical High $0.85 | Professional | 53 · Discontinued | $0.39 | $0.62 | $0.85 |
Where California sits
The same service costs 4.2 times more in Kansas than in Connecticut. 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· 47th of 51
$3.63
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.