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 $7.08 Median $18.20 Typical High $43.65 | Facility | None | $7.08 | $18.20 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $7.24 Typical High $7.24 | Professional | None | $6.31 | $7.24 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $26.30 Typical High $72.44 | Facility | None | $18.20 | $26.30 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $52.48 | Professional | None | $5.89 | $7.59 | $52.48 |
Blue Shield Setting Facility Modifier None Typical Low $17.38 Median $53.70 Typical High $91.20 | Facility | None | $17.38 | $53.70 | $91.20 |
Blue Shield Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $17.38 | Professional | None | $3.72 | $5.25 | $17.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $97.72 | Professional | None | $11.75 | $11.75 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $26.30 Typical High $48.98 | Facility | None | $8.32 | $26.30 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $12.02 Typical High $72.44 | Professional | None | $4.57 | $12.02 | $72.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $6.46 Median $16.22 Typical High $19.95 | Professional | None | $6.46 | $16.22 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $16.22 Typical High $33.11 | Professional | None | $14.79 | $16.22 | $33.11 |
Lucent Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | None | $100.00 | $100.00 | $109.65 |
Providence Setting Facility Modifier None Typical Low $8.32 Median $19.50 Typical High $44.67 | Facility | None | $8.32 | $19.50 | $44.67 |
Providence Setting Professional Modifier None Typical Low $4.79 Median $12.88 Typical High $72.44 | Professional | None | $4.79 | $12.88 | $72.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $5.13 Median $13.18 Typical High $64.57 | Professional | None | $5.13 | $13.18 | $64.57 |
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 $3.55 Median $9.12 Typical High $21.88 | Facility | 52 · Reduced service | $3.55 | $9.12 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.41 Median $3.63 Typical High $8.71 | Facility | 53 · Discontinued | $1.41 | $3.63 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $3.16 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.26 | $1.45 | $1.45 |
Where California sits
The same service costs 4.5 times more in Alaska than in Delaware. 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· 8th of 51
$20.42
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.