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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $151.36 | Professional | None | $95.50 | $151.36 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $85.11 Typical High $234.42 | Facility | None | $58.88 | $85.11 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $354.81 | Professional | None | $79.43 | $169.82 | $354.81 |
Blue Shield Setting Facility Modifier None Typical Low $33.88 Median $109.65 Typical High $138.04 | Facility | None | $33.88 | $109.65 | $138.04 |
Blue Shield Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $190.55 | Professional | None | $50.12 | $72.44 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $85.11 Typical High $158.49 | Facility | None | $38.02 | $85.11 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $56.23 Typical High $234.42 | Professional | None | $25.12 | $56.23 | $234.42 |
Contra Costa Health Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $63.10 | Professional | None | $46.77 | $52.48 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $125.89 | Professional | None | $42.66 | $54.95 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $354.81 | Professional | None | $234.42 | $354.81 | $354.81 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $89.13 Typical High $213.80 | Facility | None | $43.65 | $89.13 | $213.80 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $58.88 Typical High $234.42 | Professional | None | $25.70 | $58.88 | $234.42 |
Sutter Health Plus Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $46.77 | Facility | None | $19.95 | $19.95 | $46.77 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $208.93 | Professional | None | $19.95 | $28.18 | $208.93 |
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 $75.86 Median $114.82 Typical High $281.84 | Facility | 52 · Reduced service | $75.86 | $114.82 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $45.71 Typical High $112.20 | Facility | 53 · Discontinued | $30.20 | $45.71 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $47.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $19.05 | $30.20 | $30.20 |
Where California sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 2nd of 51
$151
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.