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 $10.96 Median $28.18 Typical High $67.61 | Facility | None | $10.96 | $28.18 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $11.22 Typical High $11.48 | Professional | None | $9.77 | $11.22 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $23.99 Typical High $66.07 | Facility | None | $16.60 | $23.99 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $21.38 | Professional | None | $5.89 | $7.24 | $21.38 |
Blue Shield Setting Facility Modifier None Typical Low $26.30 Median $75.86 Typical High $141.25 | Facility | None | $26.30 | $75.86 | $141.25 |
Blue Shield Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $15.14 | Professional | None | $5.75 | $8.13 | $15.14 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $13.49 | Professional | None | $10.72 | $10.72 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $20.42 Typical High $44.67 | Facility | None | $8.91 | $20.42 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $39.81 | Professional | None | $7.76 | $12.88 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $14.79 | Professional | None | $10.00 | $14.79 | $14.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $35.48 | Professional | None | $11.22 | $14.13 | $35.48 |
Molina Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $13.49 | Professional | None | $6.76 | $6.76 | $13.49 |
Providence Setting Facility Modifier None Typical Low $8.71 Median $16.22 Typical High $42.66 | Facility | None | $8.71 | $16.22 | $42.66 |
Providence Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $30.20 | Professional | None | $7.76 | $12.88 | $30.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $13.49 | Facility | None | $5.62 | $5.62 | $13.49 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.13 Typical High $33.11 | Professional | None | $5.62 | $8.13 | $33.11 |
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 $5.37 Median $14.13 Typical High $33.88 | Facility | 52 · Reduced service | $5.37 | $14.13 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $5.62 Typical High $13.49 | Facility | 53 · Discontinued | $2.19 | $5.62 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.62 Typical High $5.75 | Professional | 52 · Reduced service | $4.90 | $5.62 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.29 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.29 |
Where California sits
The same service costs 4.1 times more in Kansas than in New Jersey. 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· 34th of 51
$11.22
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.