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 $14.79 Median $21.88 Typical High $60.26 | Facility | None | $14.79 | $21.88 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $43.65 | Professional | None | $5.75 | $9.12 | $43.65 |
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 $9.77 Median $9.77 Typical High $16.98 | Professional | None | $9.77 | $9.77 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $21.88 Typical High $40.74 | Facility | None | $9.12 | $21.88 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $13.80 Typical High $60.26 | Professional | None | $7.08 | $13.80 | $60.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.94 Median $13.18 Typical High $16.22 | Professional | None | $7.94 | $13.18 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $32.36 | Professional | None | $10.96 | $13.80 | $32.36 |
Lucent Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Providence Setting Facility Modifier None Typical Low $9.77 Median $17.38 Typical High $38.02 | Facility | None | $9.77 | $17.38 | $38.02 |
Providence Setting Professional Modifier None Typical Low $7.24 Median $13.80 Typical High $60.26 | Professional | None | $7.24 | $13.80 | $60.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $12.02 | Facility | None | $5.13 | $5.13 | $12.02 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $47.86 | Professional | None | $7.24 | $12.02 | $47.86 |
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· 36th of 51
$12.02
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.