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 $25.12 Typical High $67.61 | Facility | None | $10.96 | $25.12 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $16.60 | Professional | None | $9.77 | $10.96 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $21.88 | Professional | None | $6.03 | $7.41 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $58.88 | Facility | None | $14.79 | $21.38 | $58.88 |
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 $25.70 Median $75.86 Typical High $141.25 | Facility | None | $25.70 | $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 $9.33 Median $9.55 Typical High $11.48 | Professional | None | $9.33 | $9.55 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $18.20 Typical High $41.69 | Facility | None | $8.32 | $18.20 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $12.59 Typical High $39.81 | Professional | None | $7.76 | $12.59 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.32 Median $13.18 Typical High $13.18 | Professional | None | $8.32 | $13.18 | $13.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $33.88 | Professional | None | $10.23 | $13.18 | $33.88 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $14.45 | Professional | None | $7.24 | $7.24 | $14.45 |
Providence Setting Facility Modifier None Typical Low $10.00 Median $14.45 Typical High $35.48 | Facility | None | $10.00 | $14.45 | $35.48 |
Providence Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $30.20 | Professional | None | $7.76 | $12.02 | $30.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
United Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $12.02 | Facility | None | $5.01 | $5.01 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $32.36 | Professional | None | $5.01 | $7.24 | $32.36 |
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 $5.62 | Professional | 52 · Reduced service | $4.90 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $1.95 | $2.24 | $2.24 |
Where California sits
The same service costs 4.7 times more in Alaska 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· 35th of 51
$10.96
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.