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 $346.74 Median $912.01 Typical High $2,691.53 | Facility | None | $346.74 | $912.01 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $398.11 | Professional | None | $323.59 | $398.11 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,290.87 Typical High $2,344.23 | Facility | None | $1,174.90 | $2,290.87 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.75 Typical High $478.63 | Professional | None | $2.57 | $2.75 | $478.63 |
Blue Shield Setting Facility Modifier None Typical Low $338.84 Median $1,096.48 Typical High $1,380.38 | Facility | None | $338.84 | $1,096.48 | $1,380.38 |
Blue Shield Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $426.58 | Professional | None | $208.93 | $302.00 | $426.58 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $602.56 | Professional | None | $371.54 | $371.54 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,445.44 | Facility | None | $316.23 | $660.69 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $707.95 | Professional | None | $537.03 | $562.34 | $707.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $512.86 | Professional | None | $467.74 | $512.86 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $1,230.27 | Professional | None | $398.11 | $467.74 | $1,230.27 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $489.78 Typical High $1,202.26 | Facility | None | $309.03 | $489.78 | $1,202.26 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $467.74 | Professional | None | $354.81 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $467.74 | Facility | None | $194.98 | $194.98 | $467.74 |
United Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $1,258.93 | Professional | None | $194.98 | $275.42 | $1,258.93 |
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 $173.78 Median $398.11 Typical High $1,202.26 | Facility | 52 · Reduced service | $173.78 | $398.11 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $158.49 Typical High $478.63 | Facility | 53 · Discontinued | $69.18 | $158.49 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $162.18 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $79.43 | $79.43 |
Where California sits
The same service costs 309.0 times more in Alaska than in Kentucky. 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· 38th of 51
$302
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.