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 $131.83 Median $5,754.40 Typical High $15,848.93 | Facility | None | $131.83 | $5,754.40 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $100.00 Typical High $141.25 | Professional | None | $38.90 | $100.00 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $72.44 | Professional | None | $30.90 | $42.66 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,897.79 Typical High $10,471.29 | Facility | None | $2,137.96 | $4,897.79 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $144.54 Typical High $251.19 | Professional | None | $72.44 | $144.54 | $251.19 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $954.99 Typical High $1,949.84 | Facility | None | $69.18 | $954.99 | $1,949.84 |
Blue Shield Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $204.17 | Professional | None | $79.43 | $123.03 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $37.15 Median $144.54 Typical High $194.98 | Professional | None | $37.15 | $144.54 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $114.82 Typical High $199.53 | Professional | None | $36.31 | $114.82 | $199.53 |
Contra Costa Health Setting Professional Modifier None Typical Low $33.11 Median $109.65 Typical High $169.82 | Professional | None | $33.11 | $109.65 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $104.71 Typical High $208.93 | Professional | None | $30.20 | $104.71 | $208.93 |
Lucent Health Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,000.00 | Professional | None | $831.76 | $1,000.00 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $97.72 Typical High $162.18 | Professional | None | $33.11 | $97.72 | $162.18 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $1,737.80 Typical High $6,309.57 | Facility | None | $67.61 | $1,737.80 | $6,309.57 |
Providence Setting Professional Modifier None Typical Low $36.31 Median $114.82 Typical High $204.17 | Professional | None | $36.31 | $114.82 | $204.17 |
Sutter Health Plus Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $407.38 | Professional | None | $120.23 | $120.23 | $407.38 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,584.89 Typical High $7,585.78 | Facility | None | $575.44 | $1,584.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $32.36 Median $102.33 Typical High $213.80 | Professional | None | $32.36 | $102.33 | $213.80 |
1 more rate 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 50 · Both sides Typical Low $67.61 Median $154.88 Typical High $316.23 | Professional | 50 · Both sides | $67.61 | $154.88 | $316.23 |
Where California sits
The same service costs 3.4 times more in Wisconsin than in Nebraska. 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· 21st of 51
$123
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.