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 $25.12 Median $26.30 Typical High $27.54 | Facility | None | $25.12 | $26.30 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $40.74 | Professional | None | $24.55 | $27.54 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $107.15 Typical High $112.20 | Facility | None | $27.54 | $107.15 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $107.15 | Professional | None | $25.70 | $27.54 | $107.15 |
Blue Shield Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $69.18 | Professional | None | $18.20 | $25.70 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Contra Costa Health Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $41.69 | Professional | None | $30.90 | $33.88 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $61.66 | Professional | None | $24.55 | $29.51 | $61.66 |
Lucent Health Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $257.04 | Professional | None | $204.17 | $257.04 | $257.04 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $51.29 | Facility | None | $27.54 | $36.31 | $51.29 |
Providence Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $44.67 | Professional | None | $22.39 | $22.39 | $44.67 |
Sutter Health Plus Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $131.83 | Professional | None | $14.79 | $25.70 | $131.83 |
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 $13.18 Median $30.90 Typical High $79.43 | Facility | 52 · Reduced service | $13.18 | $30.90 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $10.47 Typical High $31.62 | Facility | 53 · Discontinued | $5.25 | $10.47 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $11.75 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $4.68 | $5.50 | $5.50 |
Where California sits
The same service costs 5.2 times more in Texas than in New Jersey. 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· 25th of 51
$29.51
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.