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 $26.30 Median $69.18 Typical High $165.96 | Facility | None | $26.30 | $69.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | None | $22.39 | $26.92 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $79.43 | Facility | None | $19.50 | $28.18 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $36.31 Typical High $165.96 | Professional | None | $12.88 | $36.31 | $165.96 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $199.53 Typical High $354.81 | Facility | None | $57.54 | $199.53 | $354.81 |
Blue Shield Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $64.57 | Professional | None | $14.13 | $19.95 | $64.57 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $316.23 | Professional | None | $16.98 | $16.98 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $46.77 Typical High $87.10 | Facility | None | $19.95 | $46.77 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $112.20 | Professional | None | $25.70 | $28.18 | $112.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $35.48 | Professional | None | $20.89 | $28.84 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $70.79 | Professional | None | $26.30 | $28.84 | $70.79 |
Lucent Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $38.90 Typical High $85.11 | Facility | None | $24.55 | $38.90 | $85.11 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $112.20 | Professional | None | $26.30 | $28.18 | $112.20 |
Sutter Health Plus Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $120.23 | Professional | None | $15.85 | $26.30 | $120.23 |
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 $13.18 Median $34.67 Typical High $83.18 | Facility | 52 · Reduced service | $13.18 | $34.67 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $13.80 Typical High $33.11 | Facility | 53 · Discontinued | $5.37 | $13.80 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $11.22 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $4.47 | $5.50 | $5.50 |
Where California sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 30th of 51
$32.36
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.