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 $398.11 Median $912.01 Typical High $3,019.95 | Facility | None | $398.11 | $912.01 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $446.68 | Professional | None | $371.54 | $446.68 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $2,691.53 | Facility | None | $1,318.26 | $2,630.27 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $467.74 | Professional | None | $69.18 | $74.13 | $467.74 |
Blue Shield Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $512.86 | Professional | None | $239.88 | $338.84 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $851.14 Typical High $1,659.59 | Facility | None | $354.81 | $851.14 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $794.33 | Professional | None | $537.03 | $645.65 | $794.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $575.44 | Professional | None | $524.81 | $575.44 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $1,412.54 | Professional | None | $416.87 | $524.81 | $1,412.54 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $1,348.96 | Facility | None | $338.84 | $562.34 | $1,348.96 |
Providence Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $524.81 | Professional | None | $398.11 | $524.81 | $524.81 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $524.81 | Facility | None | $218.78 | $218.78 | $524.81 |
United Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $1,412.54 | Professional | None | $218.78 | $316.23 | $1,412.54 |
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 $199.53 Median $457.09 Typical High $1,513.56 | Facility | 52 · Reduced service | $199.53 | $457.09 | $1,513.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $181.97 Typical High $602.56 | Facility | 53 · Discontinued | $79.43 | $181.97 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $74.13 | $89.13 | $89.13 |
Where California sits
The same service costs 4.6 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· 40th of 51
$339
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.