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 $25.12 Typical High $25.12 | Facility | None | $22.91 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $37.15 | Professional | None | $22.91 | $23.99 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $26.30 Typical High $28.84 | Facility | None | $24.55 | $26.30 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $47.86 | Professional | None | $24.55 | $25.12 | $47.86 |
Blue Shield Setting Facility Modifier None Typical Low $25.70 Median $57.54 Typical High $87.10 | Facility | None | $25.70 | $57.54 | $87.10 |
Blue Shield Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $33.11 | Professional | None | $19.95 | $28.84 | $33.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $50.12 | Professional | None | $26.30 | $32.36 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $39.81 | Professional | None | $25.12 | $26.30 | $39.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $31.62 | Professional | None | $23.44 | $28.84 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $52.48 | Professional | None | $23.44 | $26.30 | $52.48 |
Lucent Health Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | None | $186.21 | $204.17 | $204.17 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
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 $22.91 Median $33.88 Typical High $51.29 | Facility | None | $22.91 | $33.88 | $51.29 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $38.90 | Professional | None | $25.12 | $26.30 | $38.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $39.81 | Professional | None | $19.50 | $25.12 | $39.81 |
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 $10.96 Median $11.48 Typical High $12.88 | Professional | 52 · Reduced service | $10.96 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.57 Typical High $5.13 | Professional | 53 · Discontinued | $4.47 | $4.57 | $5.13 |
Where California sits
The same service costs 2.6 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· 39th of 51
$26.30
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.