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 $85.11 Median $199.53 Typical High $660.69 | Facility | None | $85.11 | $199.53 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | None | $79.43 | $97.72 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $575.44 Typical High $575.44 | Facility | None | $288.40 | $575.44 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $117.49 | Professional | None | $31.62 | $33.88 | $117.49 |
Blue Shield Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $1,230.27 | Facility | None | $151.36 | $660.69 | $1,230.27 |
Blue Shield Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $107.15 | Professional | None | $52.48 | $74.13 | $107.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | None | $91.20 | $91.20 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $151.36 Typical High $309.03 | Facility | None | $83.18 | $151.36 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $173.78 | Professional | None | $114.82 | $138.04 | $173.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | None | $114.82 | $125.89 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $309.03 | Professional | None | $97.72 | $120.23 | $309.03 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $263.03 | Facility | None | $75.86 | $114.82 | $263.03 |
Providence Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | None | $89.13 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $309.03 | Professional | None | $47.86 | $69.18 | $309.03 |
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 $42.66 Median $97.72 Typical High $331.13 | Facility | 52 · Reduced service | $42.66 | $97.72 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $38.90 Typical High $131.83 | Facility | 53 · Discontinued | $16.98 | $38.90 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $39.81 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $15.85 | $19.50 | $19.50 |
Where California sits
The same service costs 8.1 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· 42nd of 51
$74.13
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.