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 $5.01 Median $13.18 Typical High $31.62 | Facility | None | $5.01 | $13.18 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.01 Typical High $5.13 | Professional | None | $3.89 | $5.01 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $10.47 Typical High $28.84 | Facility | None | $7.24 | $10.47 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $4.07 Typical High $12.30 | Professional | None | $2.34 | $4.07 | $12.30 |
Blue Shield Setting Facility Modifier None Typical Low $12.30 Median $39.81 Typical High $64.57 | Facility | None | $12.30 | $39.81 | $64.57 |
Blue Shield Setting Professional Modifier None Typical Low $2.69 Median $3.80 Typical High $7.08 | Professional | None | $2.69 | $3.80 | $7.08 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $7.59 | Professional | None | $4.68 | $4.68 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $8.91 Typical High $19.50 | Facility | None | $3.89 | $8.91 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $4.68 Typical High $14.45 | Professional | None | $3.09 | $4.68 | $14.45 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $6.46 | Professional | None | $4.68 | $6.46 | $6.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $16.60 | Professional | None | $5.01 | $6.46 | $16.60 |
Molina Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $5.89 | Professional | None | $2.95 | $2.95 | $5.89 |
Providence Setting Facility Modifier None Typical Low $4.07 Median $7.08 Typical High $17.38 | Facility | None | $4.07 | $7.08 | $17.38 |
Providence Setting Professional Modifier None Typical Low $3.09 Median $4.68 Typical High $11.75 | Professional | None | $3.09 | $4.68 | $11.75 |
Sutter Health Plus Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.55 Typical High $13.49 | Professional | None | $2.45 | $3.55 | $13.49 |
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 $2.51 Median $6.61 Typical High $15.85 | Facility | 52 · Reduced service | $2.51 | $6.61 | $15.85 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.00 Median $2.63 Typical High $6.31 | Facility | 53 · Discontinued | $1.00 | $2.63 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.04 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $0.81 | $1.02 | $1.02 |
Where California sits
The same service costs 3.9 times more in Kansas than in Vermont. 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· 27th of 51
$5.37
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.