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 $501.19 Median $1,148.15 Typical High $3,801.89 | Facility | None | $501.19 | $1,148.15 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $562.34 | Professional | None | $467.74 | $562.34 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $3,311.31 Typical High $3,388.44 | Facility | None | $1,659.59 | $3,311.31 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $12.59 Typical High $512.86 | Professional | None | $12.30 | $12.59 | $512.86 |
Blue Shield Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $616.60 | Professional | None | $302.00 | $426.58 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $2,137.96 | Facility | None | $501.19 | $954.99 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $954.99 | Professional | None | $660.69 | $758.58 | $954.99 |
Contra Costa Health Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $724.44 | Professional | None | $660.69 | $724.44 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $1,778.28 | Professional | None | $524.81 | $660.69 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $1,318.26 | Facility | None | $478.63 | $660.69 | $1,318.26 |
Providence Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | None | $512.86 | $660.69 | $660.69 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $660.69 | Facility | None | $275.42 | $275.42 | $660.69 |
United Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $1,778.28 | Professional | None | $275.42 | $398.11 | $1,778.28 |
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 $251.19 Median $575.44 Typical High $1,905.46 | Facility | 52 · Reduced service | $251.19 | $575.44 | $1,905.46 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $229.09 Typical High $758.58 | Facility | 53 · Discontinued | $100.00 | $229.09 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $234.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $93.33 | $112.20 | $112.20 |
Where California sits
The same service costs 114.8 times more in Montana 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
$427
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.