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 $5.37 Median $23.44 Typical High $53.70 | Facility | None | $5.37 | $23.44 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $12.02 Typical High $12.02 | Professional | None | $4.79 | $12.02 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $23.44 Typical High $64.57 | Facility | None | $16.22 | $23.44 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $44.67 | Professional | None | $5.75 | $9.12 | $44.67 |
Blue Shield Setting Facility Modifier None Typical Low $13.49 Median $41.69 Typical High $69.18 | Facility | None | $13.49 | $41.69 | $69.18 |
Blue Shield Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $15.85 | Professional | None | $6.31 | $8.91 | $15.85 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $7.94 Median $10.47 Typical High $18.20 | Professional | None | $7.94 | $10.47 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $23.44 Typical High $43.65 | Facility | None | $10.00 | $23.44 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.80 Typical High $64.57 | Professional | None | $7.41 | $13.80 | $64.57 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.94 Median $14.45 Typical High $17.78 | Professional | None | $7.94 | $14.45 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $36.31 | Professional | None | $11.75 | $15.14 | $36.31 |
Lucent Health Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $602.56 | Professional | None | $389.05 | $602.56 | $602.56 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Providence Setting Facility Modifier None Typical Low $10.72 Median $18.20 Typical High $40.74 | Facility | None | $10.72 | $18.20 | $40.74 |
Providence Setting Professional Modifier None Typical Low $7.59 Median $14.45 Typical High $64.57 | Professional | None | $7.59 | $14.45 | $64.57 |
Sutter Health Plus Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $13.18 | Facility | None | $5.50 | $5.50 | $13.18 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $51.29 | Professional | None | $7.76 | $13.18 | $51.29 |
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 $2.69 Median $13.18 Typical High $26.92 | Facility | 52 · Reduced service | $2.69 | $13.18 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $4.68 Typical High $10.72 | Facility | 53 · Discontinued | $1.07 | $4.68 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.45 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $2.45 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $0.98 | $2.40 | $2.40 |
Where California sits
The same service costs 3.2 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· 31st of 51
$13.18
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.