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 $12.30 Median $32.36 Typical High $77.62 | Facility | None | $12.30 | $32.36 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | None | $11.22 | $12.59 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $42.66 Typical High $117.49 | Facility | None | $29.51 | $42.66 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $87.10 | Professional | None | $9.55 | $13.49 | $87.10 |
Blue Shield Setting Facility Modifier None Typical Low $30.90 Median $87.10 Typical High $158.49 | Facility | None | $30.90 | $87.10 | $158.49 |
Blue Shield Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $30.20 | Professional | None | $6.61 | $9.33 | $30.20 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $173.78 | Professional | None | $19.05 | $19.05 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $42.66 Typical High $81.28 | Facility | None | $14.45 | $42.66 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $20.89 Typical High $117.49 | Professional | None | $7.76 | $20.89 | $117.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.48 Median $26.30 Typical High $32.36 | Professional | None | $11.48 | $26.30 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $61.66 | Professional | None | $23.99 | $26.30 | $61.66 |
Lucent Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $181.97 | Professional | None | $120.23 | $120.23 | $181.97 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $31.62 Typical High $74.13 | Facility | None | $14.45 | $31.62 | $74.13 |
Providence Setting Professional Modifier None Typical Low $7.76 Median $22.91 Typical High $117.49 | Professional | None | $7.76 | $22.91 | $117.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $23.99 | Facility | None | $10.00 | $10.00 | $23.99 |
United Setting Professional Modifier None Typical Low $8.91 Median $21.88 Typical High $107.15 | Professional | None | $8.91 | $21.88 | $107.15 |
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 $6.17 Median $16.22 Typical High $38.90 | Facility | 52 · Reduced service | $6.17 | $16.22 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.45 Median $6.46 Typical High $15.49 | Facility | 53 · Discontinued | $2.45 | $6.46 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $5.62 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.24 | $2.51 | $2.51 |
Where California sits
The same service costs 8.9 times more in Texas 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· 11th of 51
$30.20
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.