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 $295.12 Median $676.08 Typical High $2,238.72 | Facility | None | $295.12 | $676.08 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | None | $275.42 | $331.13 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $1,995.26 | Facility | None | $977.24 | $1,949.84 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $389.05 | Professional | None | $6.46 | $6.76 | $389.05 |
Blue Shield Setting Facility Modifier None Typical Low $512.86 Median $2,238.72 Typical High $4,265.80 | Facility | None | $512.86 | $2,238.72 | $4,265.80 |
Blue Shield Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $363.08 | Professional | None | $177.83 | $251.19 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $512.86 Typical High $1,047.13 | Facility | None | $269.15 | $512.86 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $588.84 | Professional | None | $446.68 | $478.63 | $588.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $426.58 | Professional | None | $389.05 | $426.58 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $1,047.13 | Professional | None | $331.13 | $407.38 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $891.25 | Facility | None | $257.04 | $398.11 | $891.25 |
Providence Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | None | $302.00 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $389.05 | Facility | None | $165.96 | $165.96 | $389.05 |
United Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $1,047.13 | Professional | None | $165.96 | $234.42 | $1,047.13 |
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 $147.91 Median $338.84 Typical High $1,122.02 | Facility | 52 · Reduced service | $147.91 | $338.84 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $134.90 Typical High $446.68 | Facility | 53 · Discontinued | $58.88 | $134.90 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $138.04 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $54.95 | $66.07 | $66.07 |
Where California sits
The same service costs 134.9 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· 41st of 51
$251
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.