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 $562.34 Median $1,288.25 Typical High $4,265.80 | Facility | None | $562.34 | $1,288.25 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $630.96 | Professional | None | $562.34 | $630.96 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $3,715.35 Typical High $3,801.89 | Facility | None | $1,905.46 | $3,715.35 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $776.25 | Professional | None | $338.84 | $354.81 | $776.25 |
Blue Shield Setting Facility Modifier None Typical Low $977.24 Median $4,265.80 Typical High $8,128.31 | Facility | None | $977.24 | $4,265.80 | $8,128.31 |
Blue Shield Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $691.83 | Professional | None | $338.84 | $489.78 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $977.24 Typical High $2,041.74 | Facility | None | $512.86 | $977.24 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,148.15 | Professional | None | $870.96 | $912.01 | $1,148.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $831.76 | Professional | None | $758.58 | $831.76 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,995.26 | Professional | None | $602.56 | $776.25 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,737.80 | Facility | None | $489.78 | $758.58 | $1,737.80 |
Providence Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $758.58 | Professional | None | $575.44 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $758.58 | Facility | None | $316.23 | $316.23 | $758.58 |
United Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $1,995.26 | Professional | None | $316.23 | $446.68 | $1,995.26 |
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 $281.84 Median $645.65 Typical High $2,137.96 | Facility | 52 · Reduced service | $281.84 | $645.65 | $2,137.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $257.04 Typical High $870.96 | Facility | 53 · Discontinued | $112.20 | $257.04 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $263.03 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $128.82 | $128.82 |
Where California sits
The same service costs 26.9 times more in Alaska 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
$490
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.