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 $2,818.38 Median $9,120.11 Typical High $19,498.45 | Facility | None | $2,818.38 | $9,120.11 | $19,498.45 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $758.58 | Professional | None | $512.86 | $537.03 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,079.46 Median $13,803.84 Typical High $25,118.86 | Facility | None | $7,079.46 | $13,803.84 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,047.13 | Professional | None | $489.78 | $630.96 | $1,047.13 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $2,951.21 Typical High $10,715.19 | Facility | None | $97.72 | $2,951.21 | $10,715.19 |
Blue Shield Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,047.13 | Professional | None | $562.34 | $794.33 | $1,047.13 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $954.99 | Professional | None | $776.25 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,467.37 Typical High $6,025.60 | Facility | None | $758.58 | $3,467.37 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $2,630.27 | Professional | None | $676.08 | $1,023.29 | $2,630.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,162.28 | Professional | None | $3,019.95 | $3,019.95 | $3,162.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,778.28 | Professional | None | $691.83 | $831.76 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,623.41 | Professional | None | $5,128.61 | $5,128.61 | $5,623.41 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $3,630.78 Typical High $10,000.00 | Facility | None | $776.25 | $3,630.78 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $1,023.29 Typical High $2,630.27 | Professional | None | $630.96 | $1,023.29 | $2,630.27 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,754.40 Typical High $17,378.01 | Facility | None | $2,290.87 | $5,754.40 | $17,378.01 |
United Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,230.27 | Professional | None | $537.03 | $676.08 | $1,230.27 |
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 $776.25 Median $912.01 Typical High $1,023.29 | Professional | 50 · Both sides | $776.25 | $912.01 | $1,023.29 |
Where California sits
The same service costs 6.2 times more in Alaska than in New York. 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
$794
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.