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 $28.84 Median $32.36 Typical High $43.65 | Facility | None | $28.84 | $32.36 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $51.29 | Professional | None | $28.18 | $38.02 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $42.66 | Professional | None | $37.15 | $38.90 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $38.02 Typical High $158.49 | Facility | None | $30.20 | $38.02 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $46.77 | Professional | None | $30.20 | $38.90 | $46.77 |
Blue Shield Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $48.98 | Professional | None | $24.55 | $34.67 | $48.98 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $56.23 | Professional | None | $33.11 | $41.69 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $54.95 | Professional | None | $30.20 | $38.90 | $54.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $56.23 | Professional | None | $29.51 | $35.48 | $56.23 |
HealthNet Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $63.10 | Professional | None | $26.30 | $40.74 | $63.10 |
Lucent Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | None | $33.11 | $33.11 | $38.90 |
Providence Setting Facility Modifier None Typical Low $31.62 Median $44.67 Typical High $61.66 | Facility | None | $31.62 | $44.67 | $61.66 |
Providence Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $52.48 | Professional | None | $30.20 | $38.90 | $52.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | None | $83.18 | $83.18 | $109.65 |
United Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $60.26 | Professional | None | $25.70 | $38.02 | $60.26 |
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 $14.45 Median $16.22 Typical High $21.88 | Facility | 52 · Reduced service | $14.45 | $16.22 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $6.46 Typical High $8.71 | Facility | 53 · Discontinued | $5.75 | $6.46 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $16.22 Typical High $20.89 | Professional | 52 · Reduced service | $14.13 | $16.22 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $8.32 | Professional | 53 · Discontinued | $5.62 | $6.46 | $8.32 |
Where California sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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
$38.02
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.