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 $549.54 Median $7,079.46 Typical High $17,782.79 | Facility | None | $549.54 | $7,079.46 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $457.09 Typical High $630.96 | Professional | None | $181.97 | $457.09 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $6,309.57 Typical High $13,489.63 | Facility | None | $2,951.21 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $1,949.84 | Professional | None | $223.87 | $251.19 | $1,949.84 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $5,011.87 Typical High $9,772.37 | Facility | None | $69.18 | $5,011.87 | $9,772.37 |
Blue Shield Setting Professional Modifier None Typical Low $162.18 Median $407.38 Typical High $851.14 | Professional | None | $162.18 | $407.38 | $851.14 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $186.21 Median $588.84 Typical High $741.31 | Professional | None | $186.21 | $588.84 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $478.63 Typical High $912.01 | Professional | None | $199.53 | $478.63 | $912.01 |
Contra Costa Health Setting Professional Modifier None Typical Low $204.17 Median $457.09 Typical High $776.25 | Professional | None | $204.17 | $457.09 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $501.19 Typical High $1,000.00 | Professional | None | $181.97 | $501.19 | $1,000.00 |
Lucent Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,168.69 | $4,265.80 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $389.05 Typical High $645.65 | Professional | None | $33.11 | $389.05 | $645.65 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $4,786.30 Typical High $15,848.93 | Facility | None | $257.04 | $4,786.30 | $15,848.93 |
Providence Setting Professional Modifier None Typical Low $194.98 Median $478.63 Typical High $912.01 | Professional | None | $194.98 | $478.63 | $912.01 |
Sutter Health Plus Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,659.59 | Professional | None | $630.96 | $630.96 | $1,659.59 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $15,135.61 | Facility | None | $3,981.07 | $7,413.10 | $15,135.61 |
United Setting Professional Modifier None Typical Low $186.21 Median $478.63 Typical High $1,174.90 | Professional | None | $186.21 | $478.63 | $1,174.90 |
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 $288.40 Median $512.86 Typical High $1,047.13 | Professional | 50 · Both sides | $288.40 | $512.86 | $1,047.13 |
Where California sits
The same service costs 3.9 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· 22nd of 51
$537
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.