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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $316.23 Typical High $954.99 | Professional | None (both parts) | $269.15 | $316.23 | $954.99 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $977.24 Typical High $2,041.74 | Facility | None | $67.61 | $977.24 | $2,041.74 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $34.67 | $48.98 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $4,365.16 | Facility | None | $1,318.26 | $1,862.09 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $831.76 | Professional | None | $407.38 | $630.96 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $4,365.16 | Facility | None | $1,023.29 | $1,995.26 | $4,365.16 |
2 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $316.23 | Professional | 26 · Professional part | $74.13 | $87.10 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $275.42 | Professional | TC · Technical part | $186.21 | $234.42 | $275.42 |
Where California sits
The same service costs 245.5 times more in Washington, DC than in Illinois. 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 43
$48.98
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.