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 $4.68 Median $12.30 Typical High $30.90 | Facility | None | $4.68 | $12.30 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $10.00 | Professional | None | $4.27 | $5.13 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $2.14 Typical High $6.76 | Professional | None | $1.82 | $2.14 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.25 Median $7.59 Typical High $20.89 | Facility | None | $5.25 | $7.59 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.16 Typical High $10.23 | Professional | None | $2.57 | $3.16 | $10.23 |
Blue Shield Setting Facility Modifier None Typical Low $10.96 Median $38.90 Typical High $64.57 | Facility | None | $10.96 | $38.90 | $64.57 |
Blue Shield Setting Professional Modifier None Typical Low $2.63 Median $3.80 Typical High $6.76 | Professional | None | $2.63 | $3.80 | $6.76 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $5.50 | Professional | None | $3.39 | $3.39 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $6.46 Typical High $14.79 | Facility | None | $2.95 | $6.46 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $4.68 Typical High $13.80 | Professional | None | $2.75 | $4.68 | $13.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $4.68 | Professional | None | $3.72 | $4.68 | $4.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.63 Median $4.68 Typical High $12.02 | Professional | None | $3.63 | $4.68 | $12.02 |
Molina Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $5.13 | Professional | None | $2.57 | $2.57 | $5.13 |
Providence Setting Facility Modifier None Typical Low $3.55 Median $5.50 Typical High $15.14 | Facility | None | $3.55 | $5.50 | $15.14 |
Providence Setting Professional Modifier None Typical Low $2.75 Median $4.27 Typical High $10.96 | Professional | None | $2.75 | $4.27 | $10.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
United Setting Facility Modifier None Typical Low $1.78 Median $1.78 Typical High $4.27 | Facility | None | $1.78 | $1.78 | $4.27 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.63 Typical High $11.48 | Professional | None | $2.57 | $3.63 | $11.48 |
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 $2.51 Median $6.46 Typical High $15.49 | Facility | 52 · Reduced service | $2.51 | $6.46 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.00 Median $2.57 Typical High $6.17 | Facility | 53 · Discontinued | $1.00 | $2.57 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $1.82 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $0.72 | $1.02 | $1.02 |
Where California sits
The same service costs 3.2 times more in Kansas than in Maryland. 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
$5.01
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.