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 $12.02 Median $31.62 Typical High $83.18 | Facility | None | $12.02 | $31.62 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $13.49 | Professional | None | $12.02 | $13.49 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $33.11 Typical High $77.62 | Facility | None | $22.91 | $33.11 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $13.80 Typical High $63.10 | Professional | None | $5.89 | $13.80 | $63.10 |
Blue Shield Setting Facility Modifier None Typical Low $32.36 Median $91.20 Typical High $173.78 | Facility | None | $32.36 | $91.20 | $173.78 |
Blue Shield Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $32.36 | Professional | None | $7.08 | $10.00 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $30.90 Typical High $56.23 | Facility | None | $12.59 | $30.90 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $25.12 | Professional | None | $18.62 | $20.42 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $41.69 | Professional | None | $18.62 | $20.42 | $41.69 |
Lucent Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | None | $93.33 | $93.33 | $138.04 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $24.55 Typical High $50.12 | Facility | None | $13.80 | $24.55 | $50.12 |
Providence Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $17.38 | Professional | None | $8.13 | $8.13 | $17.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $18.62 | Facility | None | $7.76 | $7.76 | $18.62 |
United Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $69.18 | Professional | None | $6.31 | $9.12 | $69.18 |
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 $6.03 Median $15.85 Typical High $45.71 | Facility | 52 · Reduced service | $6.03 | $15.85 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $5.50 Typical High $18.62 | Facility | 53 · Discontinued | $2.40 | $5.50 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $6.03 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.40 | $2.69 | $2.69 |
Where California sits
The same service costs 6.6 times more in Texas 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· 8th of 51
$23.99
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.