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 $0.08 Median $0.08 Typical High $0.17 | Facility | None | $0.08 | $0.08 | $0.17 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.09 Median $0.10 Typical High $0.12 | Facility | None | $0.09 | $0.10 | $0.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.11 | Professional | None | $0.09 | $0.09 | $0.11 |
Blue Shield Setting Facility Modifier None Typical Low $0.09 Median $0.09 Typical High $0.12 | Facility | None | $0.09 | $0.09 | $0.12 |
Blue Shield Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.10 | Professional | None | $0.08 | $0.08 | $0.10 |
Cigna Setting Facility Modifier None Typical Low $0.09 Median $0.18 Typical High $0.27 | Facility | None | $0.09 | $0.18 | $0.27 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $630.96 Typical High $831.76 | Professional | None | $128.82 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Molina Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | None | $0.04 | $0.04 | $0.04 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $0.08 Median $0.18 Typical High $0.52 | Facility | None | $0.08 | $0.18 | $0.52 |
Providence Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
United Setting Facility Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | None | $1.00 | $1.00 | $1.00 |
United Setting Professional Modifier None Typical Low $0.06 Median $0.08 Typical High $0.17 | Professional | None | $0.06 | $0.08 | $0.17 |
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 $0.04 Median $0.04 Typical High $0.04 | Professional | 52 · Reduced service | $0.04 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Where California sits
The same service costs 14.8 times more in Montana than in Hawaii. 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· 6th of 51
$0.09
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.