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 $21.38 Median $24.55 Typical High $57.54 | Facility | None | $21.38 | $24.55 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $33.11 Typical High $67.61 | Professional | None | $21.38 | $33.11 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $23.44 Typical High $25.70 | Facility | None | $21.88 | $23.44 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $51.29 Typical High $79.43 | Professional | None | $21.88 | $51.29 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $28.18 Median $69.18 Typical High $104.71 | Facility | None | $28.18 | $69.18 | $104.71 |
Blue Shield Setting Professional Modifier None Typical Low $17.38 Median $37.15 Typical High $58.88 | Professional | None | $17.38 | $37.15 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $52.48 Typical High $75.86 | Professional | None | $24.55 | $52.48 | $75.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $22.91 Median $36.31 Typical High $79.43 | Professional | None | $22.91 | $36.31 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $52.48 Typical High $87.10 | Professional | None | $20.42 | $52.48 | $87.10 |
Lucent Health Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $467.74 | Professional | None | $323.59 | $467.74 | $467.74 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $74.13 | Professional | None | $44.67 | $44.67 | $74.13 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $48.98 Typical High $85.11 | Facility | None | $21.38 | $48.98 | $85.11 |
Providence Setting Professional Modifier None Typical Low $24.55 Median $53.70 Typical High $70.79 | Professional | None | $24.55 | $53.70 | $70.79 |
Sutter Health Plus Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $165.96 | Professional | None | $77.62 | $77.62 | $165.96 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
United Setting Professional Modifier None Typical Low $19.05 Median $42.66 Typical High $79.43 | Professional | None | $19.05 | $42.66 | $79.43 |
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 $10.72 Median $12.30 Typical High $28.84 | Facility | 52 · Reduced service | $10.72 | $12.30 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $4.90 Typical High $11.48 | Facility | 53 · Discontinued | $4.27 | $4.90 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $19.95 Typical High $28.84 | Professional | 52 · Reduced service | $10.72 | $19.95 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $7.94 Typical High $11.48 | Professional | 53 · Discontinued | $4.27 | $7.94 | $11.48 |
Where California sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 31st of 51
$46.77
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.