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 $25.70 Median $26.92 Typical High $30.90 | Facility | None | $25.70 | $26.92 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $30.90 | Professional | None | $24.55 | $25.70 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $25.12 Typical High $27.54 | Facility | None | $23.44 | $25.12 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $45.71 | Professional | None | $22.39 | $23.99 | $45.71 |
Blue Shield Setting Facility Modifier None Typical Low $64.57 Median $190.55 Typical High $323.59 | Facility | None | $64.57 | $190.55 | $323.59 |
Blue Shield Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $33.88 | Professional | None | $17.38 | $25.12 | $33.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $27.54 Median $54.95 Typical High $54.95 | Professional | None | $27.54 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $1,174.90 | Facility | None | $309.03 | $389.05 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $154.88 Typical High $204.17 | Professional | None | $31.62 | $154.88 | $204.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.45 Median $48.98 Typical High $53.70 | Professional | None | $14.45 | $48.98 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $75.86 | Professional | None | $36.31 | $41.69 | $75.86 |
Lucent Health Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $309.03 | Professional | None | $194.98 | $309.03 | $309.03 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
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 $25.70 Median $41.69 Typical High $323.59 | Facility | None | $25.70 | $41.69 | $323.59 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $56.23 Typical High $89.13 | Professional | None | $28.84 | $56.23 | $89.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | None | $354.81 | $354.81 | $549.54 |
United Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $56.23 | Professional | None | $21.38 | $26.92 | $56.23 |
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 $12.88 Median $12.88 Typical High $15.49 | Professional | 52 · Reduced service | $12.88 | $12.88 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $6.17 | Professional | 53 · Discontinued | $5.13 | $5.13 | $6.17 |
Where California sits
The same service costs 3.6 times more in Minnesota than in Kentucky. 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· 46th of 51
$27.54
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.