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 $8.13 Median $8.71 Typical High $8.71 | Facility | None | $8.13 | $8.71 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.13 Typical High $8.91 | Professional | None | $7.59 | $8.13 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $19.95 Typical High $38.90 | Professional | None | $7.94 | $19.95 | $38.90 |
Blue Shield Setting Facility Modifier None Typical Low $5.13 Median $12.30 Typical High $19.05 | Facility | None | $5.13 | $12.30 | $19.05 |
Blue Shield Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $13.18 | Professional | None | $6.92 | $9.77 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $15.49 | Professional | None | $8.13 | $9.33 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $34.67 Typical High $831.76 | Professional | None | $18.20 | $34.67 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $67.61 Median $177.83 Typical High $177.83 | Professional | None | $67.61 | $177.83 | $177.83 |
Molina Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $11.22 | Professional | None | $6.61 | $6.61 | $11.22 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $8.13 Median $11.75 Typical High $18.62 | Facility | None | $8.13 | $11.75 | $18.62 |
Providence Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $15.49 | Professional | None | $8.13 | $9.33 | $15.49 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $15.85 | Professional | None | $6.17 | $8.51 | $15.85 |
2 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 Professional Modifier 52 · Reduced service Typical Low $3.80 Median $4.07 Typical High $4.47 | Professional | 52 · Reduced service | $3.80 | $4.07 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.62 Typical High $1.78 | Professional | 53 · Discontinued | $1.51 | $1.62 | $1.78 |
Where California sits
The same service costs 2.6 times more in Alaska than in New York. 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· 28th of 51
$10.47
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.