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 $11.48 Median $48.98 Typical High $81.28 | Facility | None | $11.48 | $48.98 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $31.62 Typical High $81.28 | Professional | None | $11.48 | $31.62 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $19.95 | Professional | None | $9.55 | $11.22 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $27.54 Typical High $112.20 | Facility | None | $21.38 | $27.54 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $177.83 | Professional | None | $21.88 | $21.88 | $177.83 |
Blue Shield Setting Professional Modifier None Typical Low $9.33 Median $38.90 Typical High $66.07 | Professional | None | $9.33 | $38.90 | $66.07 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $13.18 Median $60.26 Typical High $77.62 | Professional | None | $13.18 | $60.26 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $51.29 Typical High $81.28 | Professional | None | $12.59 | $51.29 | $81.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.02 Median $46.77 Typical High $75.86 | Professional | None | $12.02 | $46.77 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $39.81 Typical High $91.20 | Professional | None | $10.96 | $39.81 | $91.20 |
Lucent Health Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $446.68 | Professional | None | $323.59 | $446.68 | $446.68 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $69.18 | Professional | None | $33.11 | $41.69 | $69.18 |
Providence Setting Facility Modifier None Typical Low $11.48 Median $32.36 Typical High $91.20 | Facility | None | $11.48 | $32.36 | $91.20 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $51.29 Typical High $81.28 | Professional | None | $12.30 | $51.29 | $81.28 |
Sutter Health Plus Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $169.82 | Professional | None | $39.81 | $39.81 | $169.82 |
United Setting Professional Modifier None Typical Low $10.23 Median $39.81 Typical High $89.13 | Professional | None | $10.23 | $39.81 | $89.13 |
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 53 · Discontinued Typical Low $2.29 Median $7.76 Typical High $11.48 | Professional | 53 · Discontinued | $2.29 | $7.76 | $11.48 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $9.12 Median $9.55 Typical High $10.72 | Professional | 59 · Distinct service | $9.12 | $9.55 | $10.72 |
Where California sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 35th of 51
$28.18
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.