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 $11.48 Median $30.20 Typical High $72.44 | Facility | None | $11.48 | $30.20 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $11.75 | Professional | None | $8.91 | $11.75 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $19.50 Typical High $51.29 | Facility | None | $12.88 | $19.50 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $7.94 Typical High $42.66 | Professional | None | $4.90 | $7.94 | $42.66 |
Blue Shield Setting Facility Modifier None Typical Low $25.70 Median $81.28 Typical High $151.36 | Facility | None | $25.70 | $81.28 | $151.36 |
Blue Shield Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $15.85 | Professional | None | $6.17 | $8.71 | $15.85 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $13.49 | Professional | None | $8.32 | $8.32 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $15.85 Typical High $34.67 | Facility | None | $7.08 | $15.85 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $12.02 Typical High $33.11 | Professional | None | $6.31 | $12.02 | $33.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $11.48 | Professional | None | $10.47 | $11.48 | $11.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $28.84 | Professional | None | $8.91 | $10.72 | $28.84 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $10.47 | Professional | None | $5.25 | $5.25 | $10.47 |
Providence Setting Facility Modifier None Typical Low $6.76 Median $13.49 Typical High $33.11 | Facility | None | $6.76 | $13.49 | $33.11 |
Providence Setting Professional Modifier None Typical Low $6.46 Median $10.47 Typical High $22.39 | Professional | None | $6.46 | $10.47 | $22.39 |
Sutter Health Plus Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
United Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $10.47 | Facility | None | $4.37 | $4.37 | $10.47 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.17 Typical High $27.54 | Professional | None | $4.37 | $6.17 | $27.54 |
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 $5.75 Median $15.14 Typical High $36.31 | Facility | 52 · Reduced service | $5.75 | $15.14 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.29 Median $6.03 Typical High $14.45 | Facility | 53 · Discontinued | $2.29 | $6.03 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $4.37 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $1.78 | $2.34 | $2.34 |
Where California sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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· 20th of 51
$11.48
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.