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 $7.76 Median $20.42 Typical High $47.86 | Facility | None | $7.76 | $20.42 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $7.76 Typical High $7.94 | Professional | None | $5.13 | $7.76 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $12.02 Typical High $33.11 | Facility | None | $8.13 | $12.02 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $18.20 | Professional | None | $3.31 | $4.68 | $18.20 |
Blue Shield Setting Facility Modifier None Typical Low $16.98 Median $58.88 Typical High $100.00 | Facility | None | $16.98 | $58.88 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $10.72 | Professional | None | $4.07 | $5.89 | $10.72 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $8.71 | Professional | None | $5.37 | $5.37 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $10.00 Typical High $22.91 | Facility | None | $4.68 | $10.00 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $21.88 | Professional | None | $4.27 | $7.08 | $21.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $7.24 | Professional | None | $5.89 | $7.24 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $7.24 Typical High $18.62 | Professional | None | $5.62 | $7.24 | $18.62 |
Molina Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $6.61 | Professional | None | $3.31 | $3.31 | $6.61 |
Providence Setting Facility Modifier None Typical Low $5.50 Median $8.51 Typical High $23.44 | Facility | None | $5.50 | $8.51 | $23.44 |
Providence Setting Professional Modifier None Typical Low $4.27 Median $6.61 Typical High $16.98 | Professional | None | $4.27 | $6.61 | $16.98 |
Sutter Health Plus Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $17.78 | Professional | None | $2.82 | $3.98 | $17.78 |
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 $3.89 Median $10.00 Typical High $23.99 | Facility | 52 · Reduced service | $3.89 | $10.00 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.55 Median $4.07 Typical High $9.77 | Facility | 53 · Discontinued | $1.55 | $4.07 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $2.82 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.12 | $1.58 | $1.58 |
Where California sits
The same service costs 3.6 times more in Alaska than in Kansas. 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· 22nd of 51
$7.41
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.