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 $21.88 Median $22.91 Typical High $26.30 | Facility | None | $21.88 | $22.91 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $45.71 | Professional | None | $20.42 | $26.30 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $22.39 Typical High $91.20 | Facility | None | $17.78 | $22.39 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $87.10 | Professional | None | $17.78 | $19.50 | $87.10 |
Blue Shield Setting Facility Modifier None Typical Low $58.88 Median $151.36 Typical High $269.15 | Facility | None | $58.88 | $151.36 | $269.15 |
Blue Shield Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $32.36 | Professional | None | $14.79 | $20.89 | $32.36 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $9.33 Median $19.05 Typical High $37.15 | Professional | None | $9.33 | $19.05 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $41.69 Typical High $151.36 | Facility | None | $29.51 | $41.69 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $42.66 | Professional | None | $20.42 | $22.91 | $42.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $7.41 Median $33.11 Typical High $38.02 | Professional | None | $7.41 | $33.11 | $38.02 |
HealthNet Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $89.13 | Professional | None | $25.70 | $32.36 | $89.13 |
Lucent Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | None | $154.88 | $154.88 | $208.93 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Providence Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $42.66 | Facility | None | $21.88 | $28.18 | $42.66 |
Providence Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $42.66 | Professional | None | $20.42 | $22.91 | $42.66 |
Sutter Health Plus Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
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 $16.22 Median $22.39 Typical High $43.65 | Professional | None | $16.22 | $22.39 | $43.65 |
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 $9.77 Median $10.96 Typical High $13.18 | Professional | 52 · Reduced service | $9.77 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.37 Typical High $5.25 | Professional | 53 · Discontinued | $3.89 | $4.37 | $5.25 |
Where California sits
The same service costs 2.8 times more in Alaska 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· 37th of 51
$25.12
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.