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 $1,548.82 Median $3,548.13 Typical High $12,022.64 | Facility | None | $1,548.82 | $3,548.13 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,445.44 | $1,778.28 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $10,232.93 Typical High $10,471.29 | Facility | None | $5,248.07 | $10,232.93 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $12.59 Typical High $1,584.89 | Professional | None | $12.30 | $12.59 | $1,584.89 |
Blue Shield Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,949.84 | Professional | None | $954.99 | $1,348.96 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,951.21 Typical High $6,760.83 | Facility | None | $1,584.89 | $2,951.21 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,398.83 | $2,951.21 |
Contra Costa Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,290.87 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $5,495.41 | Professional | None | $1,659.59 | $2,089.30 | $5,495.41 |
Providence Setting Facility Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $4,168.69 | Facility | None | $1,548.82 | $2,089.30 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,584.89 | $2,089.30 | $2,089.30 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $2,089.30 | Facility | None | $870.96 | $870.96 | $2,089.30 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,258.93 Typical High $5,623.41 | Professional | None | $870.96 | $1,258.93 | $5,623.41 |
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 $776.25 Median $1,778.28 Typical High $6,025.60 | Facility | 52 · Reduced service | $776.25 | $1,778.28 | $6,025.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $309.03 Median $724.44 Typical High $2,398.83 | Facility | 53 · Discontinued | $309.03 | $724.44 | $2,398.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $724.44 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $288.40 | $354.81 | $354.81 |
Where California sits
The same service costs 354.8 times more in Wisconsin than in Alabama. 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
$1,349
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.