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 $5.25 Median $12.30 Typical High $36.31 | Facility | None | $5.25 | $12.30 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $6.03 Typical High $6.03 | Professional | None | $4.47 | $6.03 | $6.03 |
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 $3.39 Typical High $9.55 | Professional | None | $2.45 | $3.39 | $9.55 |
Blue Shield Setting Facility Modifier None Typical Low $12.88 Median $45.71 Typical High $75.86 | Facility | None | $12.88 | $45.71 | $75.86 |
Blue Shield Setting Professional Modifier None Typical Low $3.09 Median $4.47 Typical High $7.94 | Professional | None | $3.09 | $4.47 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $8.13 Typical High $16.98 | Facility | None | $3.47 | $8.13 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $6.61 | Professional | None | $2.95 | $2.95 | $6.61 |
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 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Providence Setting Facility Modifier None Typical Low $4.79 Median $6.03 Typical High $14.79 | Facility | None | $4.79 | $6.03 | $14.79 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $4.90 | Professional | None | $2.95 | $2.95 | $4.90 |
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 Facility Modifier None Typical Low $2.09 Median $2.09 Typical High $4.90 | Facility | None | $2.09 | $2.09 | $4.90 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $13.18 | Professional | None | $2.09 | $3.02 | $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 $2.63 Median $6.17 Typical High $18.20 | Facility | 52 · Reduced service | $2.63 | $6.17 | $18.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $2.45 Typical High $7.41 | Facility | 53 · Discontinued | $1.07 | $2.45 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.09 Median $3.02 Typical High $3.02 | Professional | 52 · Reduced service | $2.09 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $1.20 Typical High $1.20 | Professional | 53 · Discontinued | $0.83 | $1.20 | $1.20 |
Where California sits
The same service costs 3.6 times more in Alaska than in New Mexico. 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· 18th of 51
$5.50
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.