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 $7.41 Median $8.51 Typical High $22.39 | Facility | None | $7.41 | $8.51 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $25.12 | Professional | None | $7.41 | $10.96 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $8.13 Typical High $8.91 | Facility | None | $7.59 | $8.13 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $19.95 Typical High $43.65 | Professional | None | $7.59 | $19.95 | $43.65 |
Blue Shield Setting Facility Modifier None Typical Low $9.33 Median $24.55 Typical High $52.48 | Facility | None | $9.33 | $24.55 | $52.48 |
Blue Shield Setting Professional Modifier None Typical Low $6.03 Median $14.45 Typical High $22.91 | Professional | None | $6.03 | $14.45 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $20.89 Typical High $28.84 | Professional | None | $8.71 | $20.89 | $28.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.76 Median $12.30 Typical High $31.62 | Professional | None | $7.76 | $12.30 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.92 Median $21.38 Typical High $34.67 | Professional | None | $6.92 | $21.38 | $34.67 |
Lucent Health Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $190.55 | Professional | None | $128.82 | $190.55 | $190.55 |
Molina Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $29.51 | Professional | None | $17.78 | $17.78 | $29.51 |
Providence Setting Facility Modifier None Typical Low $7.41 Median $19.05 Typical High $33.88 | Facility | None | $7.41 | $19.05 | $33.88 |
Providence Setting Professional Modifier None Typical Low $8.71 Median $20.89 Typical High $27.54 | Professional | None | $8.71 | $20.89 | $27.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $66.07 | Professional | None | $27.54 | $27.54 | $66.07 |
United Setting Professional Modifier None Typical Low $6.76 Median $16.98 Typical High $30.90 | Professional | None | $6.76 | $16.98 | $30.90 |
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 $3.72 Median $4.27 Typical High $11.22 | Facility | 52 · Reduced service | $3.72 | $4.27 | $11.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.48 Median $1.74 Typical High $4.47 | Facility | 53 · Discontinued | $1.48 | $1.74 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $7.94 Typical High $11.22 | Professional | 52 · Reduced service | $3.72 | $7.94 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $3.31 Typical High $4.47 | Professional | 53 · Discontinued | $1.48 | $3.31 | $4.47 |
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· 34th of 51
$18.20
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.