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 $93.33 Median $245.47 Typical High $588.84 | Facility | None | $93.33 | $245.47 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | None | $64.57 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $144.54 Typical High $398.11 | Facility | None | $100.00 | $144.54 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $54.95 Typical High $173.78 | Professional | None | $13.18 | $54.95 | $173.78 |
Blue Shield Setting Facility Modifier None Typical Low $141.25 Median $645.65 Typical High $1,202.26 | Facility | None | $141.25 | $645.65 | $1,202.26 |
Blue Shield Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $128.82 | Professional | None | $50.12 | $70.79 | $128.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | None | $64.57 | $64.57 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $112.20 Typical High $257.04 | Facility | None | $54.95 | $112.20 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $239.88 | Professional | None | $47.86 | $83.18 | $239.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | None | $81.28 | $89.13 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $213.80 | Professional | None | $67.61 | $89.13 | $213.80 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $81.28 | Professional | None | $39.81 | $39.81 | $81.28 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $100.00 Typical High $234.42 | Facility | None | $58.88 | $100.00 | $234.42 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $81.28 Typical High $223.87 | Professional | None | $47.86 | $81.28 | $223.87 |
Sutter Health Plus Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $81.28 | Facility | None | $33.88 | $33.88 | $81.28 |
United Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $213.80 | Professional | None | $33.88 | $47.86 | $213.80 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $46.77 Median $123.03 Typical High $295.12 | Facility | 52 · Reduced service | $46.77 | $123.03 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $48.98 Typical High $117.49 | Facility | 53 · Discontinued | $18.62 | $48.98 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $33.88 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $13.80 | $19.05 | $19.05 |
Where California sits
The same service costs 4.6 times more in Kansas than in Alabama. 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· 24th of 51
$81.28
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.