How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $29.51 Median $33.11 Typical High $33.88 | Facility | None | $29.51 | $33.11 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $42.66 | Professional | None | $29.51 | $33.11 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $42.66 | Facility | None | $36.31 | $38.90 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $93.33 | Professional | None | $28.18 | $37.15 | $93.33 |
Blue Shield Setting Professional Modifier None Typical Low $19.05 Median $27.54 Typical High $39.81 | Professional | None | $19.05 | $27.54 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $45.71 | Professional | None | $26.92 | $33.88 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $74.13 | Professional | None | $32.36 | $38.02 | $74.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $36.31 | Professional | None | $26.92 | $30.20 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $61.66 | Professional | None | $25.12 | $28.18 | $61.66 |
Lucent Health Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $223.87 | Professional | None | $204.17 | $223.87 | $223.87 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Providence Setting Facility Modifier None Typical Low $29.51 Median $43.65 Typical High $61.66 | Facility | None | $29.51 | $43.65 | $61.66 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $75.86 | Professional | None | $32.36 | $37.15 | $75.86 |
Sutter Health Plus Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $66.07 | Professional | None | $25.12 | $33.88 | $66.07 |
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 $14.45 Median $14.79 Typical High $16.98 | Professional | 52 · Reduced service | $14.45 | $14.79 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $6.76 | Professional | 53 · Discontinued | $5.75 | $5.89 | $6.76 |
Where California sits
The same service costs 3.0 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· 30th of 51
$36.31
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.