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 $22.91 Median $33.11 Typical High $77.62 | Facility | None | $22.91 | $33.11 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $13.49 Typical High $53.70 | Professional | None | $5.89 | $13.49 | $53.70 |
Blue Shield Setting Facility Modifier None Typical Low $30.20 Median $87.10 Typical High $158.49 | Facility | None | $30.20 | $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 $14.79 Median $14.79 Typical High $173.78 | Professional | None | $14.79 | $14.79 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $30.90 Typical High $56.23 | Facility | None | $11.75 | $30.90 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $18.20 Typical High $85.11 | Professional | None | $7.76 | $18.20 | $85.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.48 Median $20.42 Typical High $25.12 | Professional | None | $11.48 | $20.42 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $41.69 | Professional | None | $18.62 | $20.42 | $41.69 |
Lucent Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Providence Setting Facility Modifier None Typical Low $12.88 Median $24.55 Typical High $50.12 | Facility | None | $12.88 | $24.55 | $50.12 |
Providence Setting Professional Modifier None Typical Low $7.76 Median $19.50 Typical High $97.72 | Professional | None | $7.76 | $19.50 | $97.72 |
Sutter Health Plus Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $18.62 | Facility | None | $7.76 | $7.76 | $18.62 |
United Setting Professional Modifier None Typical Low $8.71 Median $15.14 Typical High $66.07 | Professional | None | $8.71 | $15.14 | $66.07 |
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 5.0 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· 22nd 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.