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 $21.38 Median $56.23 Typical High $162.18 | Facility | None | $21.38 | $56.23 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $28.18 | Professional | None | $21.38 | $23.99 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $104.71 | Professional | None | $1.00 | $1.00 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $36.31 Typical High $100.00 | Facility | None | $25.12 | $36.31 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $24.55 Typical High $87.10 | Professional | None | $10.00 | $24.55 | $87.10 |
Blue Shield Setting Facility Modifier None Typical Low $47.86 Median $162.18 Typical High $309.03 | Facility | None | $47.86 | $162.18 | $309.03 |
Blue Shield Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $57.54 | Professional | None | $12.59 | $17.78 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $36.31 Typical High $72.44 | Facility | None | $16.60 | $36.31 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $27.54 | Professional | None | $20.42 | $22.39 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $53.70 | Professional | None | $20.42 | $22.39 | $53.70 |
Lucent Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | None | $144.54 | $144.54 | $151.36 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $33.88 Typical High $67.61 | Facility | None | $18.62 | $33.88 | $67.61 |
Providence Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $22.39 | Professional | None | $10.72 | $10.72 | $22.39 |
Sutter Health Plus Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $20.42 | Facility | None | $8.51 | $8.51 | $20.42 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $89.13 | Professional | None | $8.51 | $12.02 | $89.13 |
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 $10.72 Median $28.18 Typical High $81.28 | Facility | 52 · Reduced service | $10.72 | $28.18 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $9.77 Typical High $33.11 | Facility | 53 · Discontinued | $4.27 | $9.77 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $9.55 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $3.89 | $4.79 | $4.79 |
Where California sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 10th 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.