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 $10.47 Median $27.54 Typical High $72.44 | Facility | None | $10.47 | $27.54 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $17.38 | Professional | None | $10.47 | $11.75 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $44.67 Typical High $123.03 | Facility | None | $30.90 | $44.67 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $32.36 | Professional | None | $10.00 | $11.22 | $32.36 |
Blue Shield Setting Facility Modifier None Typical Low $28.84 Median $81.28 Typical High $151.36 | Facility | None | $28.84 | $81.28 | $151.36 |
Blue Shield Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $16.22 | Professional | None | $6.17 | $8.71 | $16.22 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $22.39 | Professional | None | $19.95 | $19.95 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $40.74 Typical High $81.28 | Facility | None | $12.88 | $40.74 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $32.36 | Professional | None | $14.79 | $14.79 | $32.36 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $27.54 | Professional | None | $25.12 | $27.54 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $66.07 | Professional | None | $21.38 | $25.70 | $66.07 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $25.12 Typical High $64.57 | Facility | None | $12.59 | $25.12 | $64.57 |
Providence Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $25.12 | Professional | None | $12.88 | $14.79 | $25.12 |
Sutter Health Plus Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $25.12 | Facility | None | $10.47 | $10.47 | $25.12 |
United Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $67.61 | Professional | None | $8.32 | $15.14 | $67.61 |
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 $5.25 Median $13.80 Typical High $39.81 | Facility | 52 · Reduced service | $5.25 | $13.80 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.09 Median $5.50 Typical High $15.85 | Facility | 53 · Discontinued | $2.09 | $5.50 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.89 Typical High $9.77 | Professional | 52 · Reduced service | $5.25 | $5.89 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.34 Typical High $3.89 | Professional | 53 · Discontinued | $2.09 | $2.34 | $3.89 |
Where California sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 42nd of 51
$15.85
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.