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 $0.71 Median $0.71 Typical High $1.29 | Facility | None | $0.71 | $0.71 | $1.29 |
Aetna Setting Professional Modifier None Typical Low $0.38 Median $0.71 Typical High $0.71 | Professional | None | $0.38 | $0.71 | $0.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.03 Median $0.78 Typical High $0.85 | Facility | None | $0.03 | $0.78 | $0.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.35 Median $0.72 Typical High $1.74 | Professional | None | $0.35 | $0.72 | $1.74 |
Blue Shield Setting Facility Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Facility | None | $1.95 | $1.95 | $1.95 |
Blue Shield Setting Professional Modifier None Typical Low $0.78 Median $0.91 Typical High $2.04 | Professional | None | $0.78 | $0.91 | $2.04 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $0.76 Median $1.00 Typical High $1.12 | Professional | None | $0.76 | $1.00 | $1.12 |
Cigna Setting Facility Modifier None Typical Low $0.76 Median $1.51 Typical High $2.29 | Facility | None | $0.76 | $1.51 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Molina Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | None | $0.81 | $0.81 | $0.81 |
Providence Setting Facility Modifier None Typical Low $0.71 Median $1.02 Typical High $2.00 | Facility | None | $0.71 | $1.02 | $2.00 |
Providence Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.79 | Professional | None | $0.76 | $0.76 | $0.79 |
United Setting Facility Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Facility | None | $1.23 | $1.23 | $1.23 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.95 | Professional | None | $0.85 | $0.85 | $1.95 |
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 $0.19 Median $0.36 Typical High $0.36 | Professional | 52 · Reduced service | $0.19 | $0.36 | $0.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.14 Typical High $0.14 | Professional | 53 · Discontinued | $0.08 | $0.14 | $0.14 |
Where California sits
The same service costs 1.6 times more in Massachusetts than in Colorado. 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· 32nd of 51
$0.76
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.