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 $120.23 Median $316.23 Typical High $758.58 | Facility | None | $120.23 | $316.23 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $123.03 | Professional | None | $77.62 | $120.23 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $512.86 | Facility | None | $125.89 | $186.21 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $208.93 | Professional | None | $51.29 | $72.44 | $208.93 |
Blue Shield Setting Facility Modifier None Typical Low $181.97 Median $831.76 Typical High $1,548.82 | Facility | None | $181.97 | $831.76 | $1,548.82 |
Blue Shield Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $165.96 | Professional | None | $64.57 | $91.20 | $165.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $134.90 | Professional | None | $83.18 | $83.18 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $154.88 Typical High $354.81 | Facility | None | $72.44 | $154.88 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $104.71 Typical High $281.84 | Professional | None | $61.66 | $104.71 | $281.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | None | $102.33 | $112.20 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $275.42 | Professional | None | $87.10 | $112.20 | $275.42 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $102.33 | Professional | None | $51.29 | $51.29 | $102.33 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $309.03 | Facility | None | $77.62 | $128.82 | $309.03 |
Providence Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $234.42 | Professional | None | $67.61 | $100.00 | $234.42 |
Sutter Health Plus Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $102.33 | Facility | None | $43.65 | $43.65 | $102.33 |
United Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $275.42 | Professional | None | $43.65 | $61.66 | $275.42 |
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 $60.26 Median $158.49 Typical High $371.54 | Facility | 52 · Reduced service | $60.26 | $158.49 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $63.10 Typical High $151.36 | Facility | 53 · Discontinued | $23.99 | $63.10 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $43.65 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $17.38 | $24.55 | $24.55 |
Where California sits
The same service costs 5.1 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
$102
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.