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 $10.00 Median $24.55 Typical High $63.10 | Facility | None | $10.00 | $24.55 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $10.23 Typical High $12.88 | Professional | None | $8.13 | $10.23 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $42.66 | Facility | None | $10.72 | $15.49 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $6.61 Typical High $22.91 | Professional | None | $4.27 | $6.61 | $22.91 |
Blue Shield Setting Facility Modifier None Typical Low $22.39 Median $70.79 Typical High $128.82 | Facility | None | $22.39 | $70.79 | $128.82 |
Blue Shield Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $13.80 | Professional | None | $5.37 | $7.59 | $13.80 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $11.22 | Professional | None | $6.92 | $6.92 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $12.88 Typical High $29.51 | Facility | None | $6.03 | $12.88 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $10.23 Typical High $28.18 | Professional | None | $5.75 | $10.23 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | None | $8.71 | $9.55 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.24 Median $9.55 Typical High $23.99 | Professional | None | $7.24 | $9.55 | $23.99 |
Molina Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $8.71 | Professional | None | $4.27 | $4.27 | $8.71 |
Providence Setting Facility Modifier None Typical Low $7.08 Median $11.22 Typical High $28.84 | Facility | None | $7.08 | $11.22 | $28.84 |
Providence Setting Professional Modifier None Typical Low $5.75 Median $8.71 Typical High $19.95 | Professional | None | $5.75 | $8.71 | $19.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $22.91 | Professional | None | $5.13 | $7.41 | $22.91 |
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 $5.01 Median $13.18 Typical High $31.62 | Facility | 52 · Reduced service | $5.01 | $13.18 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $5.25 Typical High $12.59 | Facility | 53 · Discontinued | $2.00 | $5.25 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $3.47 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $1.38 | $2.04 | $2.04 |
Where California sits
The same service costs 4.1 times more in Kansas than in Maryland. 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· 18th of 51
$10.23
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.