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 $3.72 Median $4.17 Typical High $4.27 | Facility | None | $3.72 | $4.17 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.27 Typical High $6.17 | Professional | None | $3.72 | $4.27 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.14 Median $19.05 Typical High $37.15 | Facility | None | $2.14 | $19.05 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $12.59 | Professional | None | $2.00 | $2.00 | $12.59 |
Blue Shield Setting Facility Modifier None Typical Low $10.00 Median $33.11 Typical High $57.54 | Facility | None | $10.00 | $33.11 | $57.54 |
Blue Shield Setting Professional Modifier None Typical Low $2.29 Median $3.24 Typical High $7.08 | Professional | None | $2.29 | $3.24 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $12.88 Typical High $29.51 | Facility | None | $3.89 | $12.88 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $14.45 | Professional | None | $2.63 | $2.63 | $14.45 |
Contra Costa Health Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | None | $11.22 | $12.59 | $12.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $30.20 | Professional | None | $9.12 | $11.75 | $30.20 |
Providence Setting Facility Modifier None Typical Low $6.03 Median $10.72 Typical High $21.38 | Facility | None | $6.03 | $10.72 | $21.38 |
Providence Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $10.23 | Professional | None | $2.63 | $2.63 | $10.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
United Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $11.22 | Facility | None | $4.79 | $4.79 | $11.22 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $19.50 | Professional | None | $2.09 | $3.02 | $19.50 |
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 $1.86 Median $2.14 Typical High $2.14 | Professional | 52 · Reduced service | $1.86 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.85 Typical High $0.85 | Professional | 53 · Discontinued | $0.76 | $0.85 | $0.85 |
Where California sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 40th of 51
$4.27
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.