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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $83.18 Typical High $83.18 | Professional | None | $4.27 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $9.33 Typical High $24.55 | Facility | None | $6.17 | $9.33 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $2.69 Typical High $5.89 | Professional | None | $2.45 | $2.69 | $5.89 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $75.86 | Professional | None | $39.81 | $57.54 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.62 Typical High $7.08 | Professional | None | $5.25 | $5.62 | $7.08 |
Contra Costa Health Setting Professional Modifier None Typical Low $4.90 Median $5.50 Typical High $5.50 | Professional | None | $4.90 | $5.50 | $5.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.17 Median $5.50 Typical High $13.18 | Professional | None | $4.17 | $5.50 | $13.18 |
Providence Setting Facility Modifier None Typical Low $3.24 Median $5.50 Typical High $83.18 | Facility | None | $3.24 | $5.50 | $83.18 |
Providence Setting Professional Modifier None Typical Low $3.80 Median $4.90 Typical High $5.75 | Professional | None | $3.80 | $4.90 | $5.75 |
Sutter Health Plus Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $13.18 | Professional | None | $2.09 | $2.57 | $13.18 |
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 $41.69 Median $85.11 Typical High $239.88 | Facility | 52 · Reduced service | $41.69 | $85.11 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $34.67 Typical High $102.33 | Facility | 53 · Discontinued | $16.60 | $34.67 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $2.34 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $0.93 | $16.60 | $16.60 |
Where California sits
The same service costs 6.2 times more in Alabama than in Kentucky. 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· 9th of 51
$5.89
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.