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 $181.97 Median $5,128.61 Typical High $15,135.61 | Facility | None | $181.97 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $69.18 Typical High $204.17 | Professional | None | $26.92 | $69.18 | $204.17 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $295.12 Typical High $676.08 | Professional | None | $134.90 | $295.12 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,309.57 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $288.40 | Professional | None | $32.36 | $33.11 | $288.40 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $676.08 Typical High $1,548.82 | Facility | None | $100.00 | $676.08 | $1,548.82 |
Blue Shield Setting Professional Modifier None Typical Low $23.99 Median $104.71 Typical High $177.83 | Professional | None | $23.99 | $104.71 | $177.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $26.30 Median $141.25 Typical High $177.83 | Professional | None | $26.30 | $141.25 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $954.99 | Facility | None | $128.82 | $204.17 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $117.49 Typical High $204.17 | Professional | None | $29.51 | $117.49 | $204.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.18 Median $117.49 Typical High $173.78 | Professional | None | $28.18 | $117.49 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $120.23 Typical High $251.19 | Professional | None | $26.30 | $120.23 | $251.19 |
Lucent Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | None | $851.14 | $851.14 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $158.49 | Professional | None | $95.50 | $95.50 | $158.49 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $2,754.23 | Facility | None | $120.23 | $234.42 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $29.51 Median $117.49 Typical High $194.98 | Professional | None | $29.51 | $117.49 | $194.98 |
Sutter Health Plus Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $426.58 | Professional | None | $100.00 | $100.00 | $426.58 |
United Setting Facility Modifier None Typical Low $123.03 Median $512.86 Typical High $3,090.30 | Facility | None | $123.03 | $512.86 | $3,090.30 |
United Setting Professional Modifier None Typical Low $25.12 Median $100.00 Typical High $204.17 | Professional | None | $25.12 | $100.00 | $204.17 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.50 Median $56.23 Typical High $97.72 | Professional | 54 · Surgery only | $19.50 | $56.23 | $97.72 |
Where California sits
The same service costs 5.1 times more in Iowa 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· 27th of 51
$112
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.