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 $24.55 | Professional | None | $9.77 | $11.22 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $63.10 Typical High $173.78 | Facility | None | $43.65 | $63.10 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $14.13 Typical High $42.66 | Professional | None | $7.24 | $14.13 | $42.66 |
Blue Shield Setting Facility Modifier None Typical Low $26.92 Median $83.18 Typical High $141.25 | Facility | None | $26.92 | $83.18 | $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 $18.62 Median $28.18 Typical High $31.62 | Professional | None | $18.62 | $28.18 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $53.70 Typical High $117.49 | Facility | None | $14.79 | $53.70 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $19.50 Typical High $53.70 | Professional | None | $8.71 | $19.50 | $53.70 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $38.90 Typical High $38.90 | Professional | None | $10.00 | $38.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $93.33 | Professional | None | $28.18 | $36.31 | $93.33 |
Molina Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $35.48 | Professional | None | $17.78 | $17.78 | $35.48 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $35.48 Typical High $93.33 | Facility | None | $14.79 | $35.48 | $93.33 |
Providence Setting Professional Modifier None Typical Low $8.71 Median $19.05 Typical High $70.79 | Professional | None | $8.71 | $19.05 | $70.79 |
Sutter Health Plus Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $35.48 | Facility | None | $14.79 | $14.79 | $35.48 |
United Setting Professional Modifier None Typical Low $7.08 Median $16.22 Typical High $81.28 | Professional | None | $7.08 | $16.22 | $81.28 |
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 $14.13 | Professional | 52 · Reduced service | $4.90 | $5.62 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.24 Typical High $5.62 | Professional | 53 · Discontinued | $1.95 | $2.24 | $5.62 |
Where California sits
The same service costs 5.6 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
$16.60
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.