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 $14.13 | Professional | None | $9.77 | $11.22 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $29.51 Typical High $81.28 | Facility | None | $20.42 | $29.51 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $23.44 | Professional | None | $6.61 | $7.24 | $23.44 |
Blue Shield Setting Facility Modifier None Typical Low $26.92 Median $75.86 Typical High $141.25 | Facility | None | $26.92 | $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 $11.22 Median $13.18 Typical High $14.79 | Professional | None | $11.22 | $13.18 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $25.12 Typical High $54.95 | Facility | None | $10.96 | $25.12 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $12.88 Typical High $39.81 | Professional | None | $8.71 | $12.88 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $18.20 Typical High $18.20 | Professional | None | $10.00 | $18.20 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $43.65 | Professional | None | $13.18 | $16.98 | $43.65 |
Molina Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $16.60 | Professional | None | $8.13 | $8.13 | $16.60 |
Providence Setting Facility Modifier None Typical Low $11.22 Median $19.50 Typical High $43.65 | Facility | None | $11.22 | $19.50 | $43.65 |
Providence Setting Professional Modifier None Typical Low $8.71 Median $14.79 Typical High $33.11 | Professional | None | $8.71 | $14.79 | $33.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $16.60 | Facility | None | $6.92 | $6.92 | $16.60 |
United Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $38.02 | Professional | None | $6.92 | $9.77 | $38.02 |
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 $7.08 | Professional | 52 · Reduced service | $4.90 | $5.62 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.82 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.82 |
Where California sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 44th of 51
$12.30
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.