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 $47.86 | Professional | None | $9.77 | $11.22 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $302.00 | Facility | None | $74.13 | $109.65 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $24.55 Typical High $60.26 | Professional | None | $7.24 | $24.55 | $60.26 |
Blue Shield Setting Facility Modifier None Typical Low $29.51 Median $85.11 Typical High $154.88 | Facility | None | $29.51 | $85.11 | $154.88 |
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 $48.98 Typical High $54.95 | Professional | None | $11.22 | $48.98 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $91.20 Typical High $194.98 | Facility | None | $14.79 | $91.20 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $26.30 Typical High $93.33 | Professional | None | $8.71 | $26.30 | $93.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $67.61 Typical High $67.61 | Professional | None | $10.00 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $162.18 | Professional | None | $48.98 | $63.10 | $162.18 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $72.44 | Professional | None | $36.31 | $36.31 | $72.44 |
Providence Setting Facility Modifier None Typical Low $15.49 Median $60.26 Typical High $158.49 | Facility | None | $15.49 | $60.26 | $158.49 |
Providence Setting Professional Modifier None Typical Low $8.71 Median $26.30 Typical High $120.23 | Professional | None | $8.71 | $26.30 | $120.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $60.26 | Facility | None | $25.70 | $25.70 | $60.26 |
United Setting Professional Modifier None Typical Low $7.08 Median $25.70 Typical High $141.25 | Professional | None | $7.08 | $25.70 | $141.25 |
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 $23.44 | Professional | 52 · Reduced service | $4.90 | $5.62 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $9.55 | Professional | 53 · Discontinued | $1.95 | $2.24 | $9.55 |
Where California sits
The same service costs 9.1 times more in Alaska than in Kentucky. 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· 49th of 51
$24.55
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.