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 $85.11 Median $218.78 Typical High $524.81 | Facility | None | $85.11 | $218.78 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $87.10 Typical High $138.04 | Professional | None | $75.86 | $87.10 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $288.40 Typical High $794.33 | Facility | None | $199.53 | $288.40 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $208.93 | Professional | None | $56.23 | $64.57 | $208.93 |
Blue Shield Setting Facility Modifier None Typical Low $134.90 Median $575.44 Typical High $1,096.48 | Facility | None | $134.90 | $575.44 | $1,096.48 |
Blue Shield Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $117.49 | Professional | None | $44.67 | $63.10 | $117.49 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $144.54 | Professional | None | $91.20 | $128.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $245.47 Typical High $537.03 | Facility | None | $89.13 | $245.47 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $95.50 Typical High $281.84 | Professional | None | $50.12 | $95.50 | $281.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $81.28 Median $177.83 Typical High $177.83 | Professional | None | $81.28 | $177.83 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $436.52 | Professional | None | $128.82 | $169.82 | $436.52 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $162.18 | Professional | None | $81.28 | $81.28 | $162.18 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $177.83 Typical High $426.58 | Facility | None | $87.10 | $177.83 | $426.58 |
Providence Setting Professional Modifier None Typical Low $50.12 Median $95.50 Typical High $323.59 | Professional | None | $50.12 | $95.50 | $323.59 |
Sutter Health Plus Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $162.18 | Facility | None | $67.61 | $67.61 | $162.18 |
United Setting Professional Modifier None Typical Low $42.66 Median $74.13 Typical High $371.54 | Professional | None | $42.66 | $74.13 | $371.54 |
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 $41.69 Median $109.65 Typical High $263.03 | Facility | 52 · Reduced service | $41.69 | $109.65 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $43.65 Typical High $104.71 | Facility | 53 · Discontinued | $16.98 | $43.65 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $42.66 Typical High $69.18 | Professional | 52 · Reduced service | $38.02 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.38 Typical High $27.54 | Professional | 53 · Discontinued | $15.14 | $17.38 | $27.54 |
Where California sits
The same service costs 7.6 times more in Alaska 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· 48th of 51
$97.72
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.