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 $22.91 Median $26.30 Typical High $186.21 | Facility | None | $22.91 | $26.30 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $36.31 | Professional | None | $22.91 | $25.70 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $23.44 | Professional | None | $19.50 | $20.42 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $35.48 Typical High $38.90 | Facility | None | $33.11 | $35.48 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $75.86 | Professional | None | $21.38 | $33.88 | $75.86 |
Blue Shield Setting Professional Modifier None Typical Low $16.60 Median $23.99 Typical High $30.90 | Professional | None | $16.60 | $23.99 | $30.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $31.62 | Professional | None | $23.99 | $29.51 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $41.69 | Professional | None | $25.12 | $28.84 | $41.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $35.48 | Professional | None | $20.89 | $26.30 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $66.07 | Professional | None | $20.89 | $23.99 | $66.07 |
Lucent Health Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None | $151.36 | $186.21 | $186.21 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $33.88 Typical High $46.77 | Facility | None | $22.91 | $33.88 | $46.77 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $46.77 | Professional | None | $25.12 | $28.18 | $46.77 |
United Setting Professional Modifier None Typical Low $19.50 Median $27.54 Typical High $47.86 | Professional | None | $19.50 | $27.54 | $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 $11.48 Median $13.18 Typical High $93.33 | Facility | 52 · Reduced service | $11.48 | $13.18 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $5.25 Typical High $37.15 | Facility | 53 · Discontinued | $4.68 | $5.25 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $13.18 | Professional | 52 · Reduced service | $11.48 | $11.48 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $5.25 | Professional | 53 · Discontinued | $4.57 | $4.68 | $5.25 |
Where California sits
The same service costs 2.8 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
$28.18
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.