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 $91.20 Median $239.88 Typical High $575.44 | Facility | None | $91.20 | $239.88 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $112.20 | Professional | None | $83.18 | $93.33 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $630.96 | Facility | None | $158.49 | $234.42 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $177.83 | Professional | None | $51.29 | $61.66 | $177.83 |
Blue Shield Setting Facility Modifier None Typical Low $144.54 Median $630.96 Typical High $1,174.90 | Facility | None | $144.54 | $630.96 | $1,174.90 |
Blue Shield Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $128.82 | Professional | None | $48.98 | $69.18 | $128.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $123.03 | Professional | None | $100.00 | $102.33 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $194.98 Typical High $416.87 | Facility | None | $85.11 | $194.98 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $251.19 | Professional | None | $52.48 | $85.11 | $251.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $141.25 | Professional | None | $89.13 | $141.25 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $346.74 | Professional | None | $102.33 | $134.90 | $346.74 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | None | $64.57 | $64.57 | $128.82 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $144.54 Typical High $338.84 | Facility | None | $81.28 | $144.54 | $338.84 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $257.04 | Professional | None | $52.48 | $100.00 | $257.04 |
Sutter Health Plus Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $128.82 | Facility | None | $53.70 | $53.70 | $128.82 |
United Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $302.00 | Professional | None | $45.71 | $58.88 | $302.00 |
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 $45.71 Median $120.23 Typical High $288.40 | Facility | 52 · Reduced service | $45.71 | $120.23 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $47.86 Typical High $114.82 | Facility | 53 · Discontinued | $18.20 | $47.86 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $46.77 Typical High $56.23 | Professional | 52 · Reduced service | $41.69 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.62 Typical High $22.39 | Professional | 53 · Discontinued | $16.60 | $18.62 | $22.39 |
Where California sits
The same service costs 6.0 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· 42nd of 51
$93.33
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.